Graduated: 2019
NPI: 1316505654
Practice Locations (4)
426 8TH ST, SUITE 305
GLEN DALE, WV 260381400
PO BOX, SUITE 6244
Wheeling, WV 260030722
PO BOX, SUITE 6244
WHEELING, WV 26003
PO BOX, SUITE 6244
WHEELING, WV 260030722
Source: CMS National Downloadable File, September 2026.