Graduated: 2002
Also: INTERNAL MEDICINE
NPI: 1215334602
Practice Locations (3)
MDICS AT CIVISTA LLC
5 GARRETT AVE
LA PLATA, MD 206465960
4439490814
CLARK ALLIANCE SERVICES INC
2501 PARKERS LN, FL 4
ALEXANDRIA, VA 223063209
7572765020
CLARK ALLIANCE SERVICES INC
250 JOSEPHS DR
YORKTOWN, VA 236933405
7572765020
Source: CMS National Downloadable File, September 2026.