Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 1994
NPI: 1083656896
Practice Locations (2)
1836 LOCUST AVE, SUITE 1
FAIRMONT, WV 265541237
1836 LOCUST AVE, SUITE 1
FAIRMONT, WV 265541286
3043667767
Source: CMS National Downloadable File, September 2026.