Graduated: 1995
NPI: 1841233541
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
110 IRVING ST NW
WASHINGTON, DC 200103017
2028777000
ST MARYS MEDICAL GROUP LLC
3699 EPWORTH RD
NEWBURGH, IN 476308909
8124711200
Source: CMS National Downloadable File, September 2026.