Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1994
NPI: 1164415659
Practice Locations (2)
WATAUGA MEDICAL CENTER INC
336 DEERFIELD RD
BOONE, NC 286075008
WATAUGA MEDICAL CENTER INC
200 HOSPITAL AVE
JEFFERSON, NC 286409244
8282649664
Source: CMS National Downloadable File, September 2026.