Graduated: 1993
NPI: 1740224120
Practice Locations (2)
ST. CLAIRE MEDICAL CENTER INC
222 MEDICAL CIR
MOREHEAD, KY 403511179
6067836500
360 ANESTHESIA PLLC
415 ADAMS AVE
SCRANTON, PA 185102001
5707705460
Source: CMS National Downloadable File, September 2026.