Graduated: 1989
NPI: 1497746887
Practice Locations (2)
PHYSICIAN ASSOCIATES OF VIRGINIA PC
1421 3RD ST SW
ROANOKE, VA 240165204
5403454946
LEGACY HEALTHCARE SERVICES INC
3365 OGDEN RD
ROANOKE, VA 240181151
5406827506506
Source: CMS National Downloadable File, September 2026.