Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2001
NPI: 1811908023
Practice Locations (1)
MEDICAL PRACTICES OF ANTIETAM, LLC
11110 MEDICAL CAMPUS RD, SUITE 107
HAGERSTOWN, MD 217426734
3017144100
Source: CMS National Downloadable File, September 2026.