Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1996
NPI: 1548265960
Practice Locations (1)
MARY WASHINGTON HEALTHCARE PROVIDERS LLC
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 224014453
5407415610
Source: CMS National Downloadable File, September 2026.