Medical school: MAYO MEDICAL SCHOOL
Graduated: 1981
NPI: 1710952817
Practice Locations (2)
SOMC MEDICAL CARE FOUNDATION, INC.
1805 27TH ST
PORTSMOUTH, OH 456622640
7403568681
GEISINGER CLINIC
100 N ACADEMY AVE
DANVILLE, PA 178229800
5702716211
Source: CMS National Downloadable File, September 2026.