Medical school: UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated: 2005
NPI: 1417092362
Practice Locations (1)
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
943 MAPLE DR, LEVEL
MORGANTOWN, WV 265052812
3045984830
Source: CMS National Downloadable File, September 2026.