Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 1994
NPI: 1255338984
Practice Locations (2)
STATERA HEALTH CARE LLC
28 CHICK ST
METROPOLIS, IL 629602467
6184272680
CORRECT CARE, INC.
409 TYLER HOLMES DR
WINONA, MS 389671521
6622836121
Source: CMS National Downloadable File, September 2026.