Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1978
NPI: 1891726295
Practice Locations (2)
2301 LEXINGTON AVE, SUITE 105
ASHLAND, KY 411012807
3045296100
1001 20TH ST
HUNTINGTON, WV 257032019
3045296100
Source: CMS National Downloadable File, September 2026.