Graduated: 2004
NPI: 1639351760
Practice Locations (2)
GEISINGER CLINIC
1000 E MOUNTAIN DR
WILKES BARRE, PA 187110001
5708267850
CHARLESTON AREA MEDICAL CENTER INC
3415 MACCORKLE AVE SE
CHARLESTON, WV 253041334
3043888380
Source: CMS National Downloadable File, September 2026.