Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2004
NPI: 1487876637
Practice Locations (1)
MEDICAL PRACTICES OF ANTIETAM, LLC
11110 MEDICAL CAMPUS RD, SUITE 230
HAGERSTOWN, MD 217426727
3016654900
Source: CMS National Downloadable File, September 2026.