Graduated: 1973
NPI: 1174521603
Practice Locations (2)
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
13079 GARRETT HWY
OAKLAND, MD 215501163
8444240411
SPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
251 N 4TH ST, SPECIALTY PHYSICIANS OF GARRETT COUNTY
OAKLAND, MD 215501375
3015334000
Source: CMS National Downloadable File, September 2026.