Graduated: 2015
NPI: 1669969515
Practice Locations (4)
FAYETTE PHYSICIAN NETWORK INC
500 W BERKELEY ST
UNIONTOWN, PA 154015514
7244306899
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
500 W BERKELEY ST, UNIONTOWN HOSPITAL
UNIONTOWN, PA 154015514
7244305000
FAYETTE PHYSICIAN NETWORK INC
500 CHERRY ST
BLUEFIELD, WV 247013306
3044877000
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
1 MEDICAL CTR DR
MORGANTOWN, WV 265061200
3042934500
Source: CMS National Downloadable File, September 2026.