Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1976
NPI: 1306860804
Practice Locations (1)
CLINCH PROFESSIONAL PHYSICIAN SERVICES LLC
6719 GOVERNOR GC PEERY HWY, SUITE 2450
RICHLANDS, VA 246412486
2765966786
Source: CMS National Downloadable File, September 2026.