Graduated: 1999
NPI: 1083677538
Practice Locations (3)
MEDSTAR MEDICAL GROUP II LLC
3001 S HANOVER ST
BALTIMORE, MD 212251233
MEDSTAR MEDICAL GROUP II LLC
1406 CRAIN S HWY 106
GLEN BURNIE, MD 210614086
4107686440
INTEGRIS AMBULATORY CARE CORPORATION
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 731124418
4059493141
Source: CMS National Downloadable File, September 2026.