Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1982
NPI: 1164529947
Practice Locations (2)
EASTERN MAINE MEDICAL CENTER
489 STATE ST
BANGOR, ME 044016616
2079737000
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL
171 ASHLEY AVE
CHARLESTON, SC 294258908
8437921414
Source: CMS National Downloadable File, September 2026.