Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1990
NPI: 1881695393
Practice Locations (2)
CENTRA MEDICAL GROUP LLC
1613 OAKWOOD ST
BEDFORD, VA 245231213
CENTRA MEDICAL GROUP LLC
1901 TATE SPRINGS RD
LYNCHBURG, VA 245011109
4349473033
Source: CMS National Downloadable File, September 2026.