Graduated: 2022
NPI: 1912644519
Practice Locations (2)
GEISINGER CLINIC
100 N ACADEMY AVE
DANVILLE, PA 178229800
5702716211
EVANGELICAL MEDICAL SERVICES ORGANIZATION
1 HOSPITAL DR
LEWISBURG, PA 178379350
5705222000
Source: CMS National Downloadable File, September 2026.