Graduated: 1985
NPI: 1235363201
Practice Locations (2)
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
1 MEDICAL CTR DR
MORGANTOWN, WV 265061200
3042934500
FAYETTE PHYSICIAN NETWORK INC
800 GARFIELD AVE
PARKERSBURG, WV 261015376
3044242355
Source: CMS National Downloadable File, September 2026.