Medical school: MEDICAL COLLEGE OF PENNSYLVANIA
Graduated: 1983
NPI: 1669459616
Practice Locations (3)
PO BOX, 680 13318 WOLF CREEK RD
Alderson, WV 249100680
444 ELMWOOD AVE
ALDERSON, WV 249105602
3044457940
PO BOX, SUITE 680
ALDERSON, WV 249100680
Source: CMS National Downloadable File, September 2026.