Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 1988
NPI: 1124146113
Practice Locations (4)
PO BOX, SUITE 100
Glen Daniel, WV 258440100
6435 HARPER RD
GLEN DANIEL, WV 25844
PO BOX, SUITE 100
GLEN DANIEL, WV 25844
PO BOX, SUITE 100
GLEN DANIEL, WV 258440100
3049346400
Source: CMS National Downloadable File, September 2026.