Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1988
NPI: 1578551099
Practice Locations (2)
PRIVIA MEDICAL GROUP, LLC
2832 CANDLERS MOUNTAIN RD
LYNCHBURG, VA 245022287
4342393949
PRIVIA MEDICAL GROUP, LLC
8644 SUDLEY RD, SUITE 220
MANASSAS, VA 201104425
5713668845
Source: CMS National Downloadable File, September 2026.