Graduated: 2015
NPI: 1205206067
Practice Locations (2)
GEISINGER CLINIC
100 N ACADEMY AVE
DANVILLE, PA 178229800
5702716144
SUSQUEHANNA PHYSICIAN SERVICES
700 HIGH ST
WILLIAMSPORT, PA 177013100
5703211279
Source: CMS National Downloadable File, September 2026.