Graduated: 2003
NPI: 1629175401
Practice Locations (3)
UNIVERSAL HEALTH CORPORATION
1000 FAIRVIEW AVE
CLIFTON FORGE, VA 244221873
5408145344
INGLESIDE PHYSICIAN SERVICES, LLC
1 ARH LANE
LOW MOOR, VA 24457
5408626011
PAI PARTICIPANT 1 LLC
1945 ROANOKE BLVD
SALEM, VA 241536408
5403453894
Source: CMS National Downloadable File, September 2026.