Medical school: LIFE CHIROPRACTIC COLLEGE
Graduated: 1986
Also: PHYSICAL MEDICINE AND REHABILITATION
NPI: 1700903390
Practice Locations (2)
14307 JARRETTSVILLE PIKE
PHOENIX, MD 211311763
4105927300
P O BOX, 38 14307 JARRETTSVILLE PK
PHOENIX, MD 211310038
Source: CMS National Downloadable File, September 2026.