Graduated: 1987
NPI: 1649913625
Practice Locations (2)
FAYETTE PHYSICIAN NETWORK INC
500 W BERKELEY ST
UNIONTOWN, PA 154015514
7244306899
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
1 MEDICAL CTR DR
MORGANTOWN, WV 265061200
3042934500
Source: CMS National Downloadable File, September 2026.