Medical school: LAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated: 2018
NPI: 1922503887
Practice Locations (1)
ST. MARY'S HIMG, LLC
3075 US ROUTE 60, SUITE D235
HUNTINGTON, WV 257058859
3045284600
Source: CMS National Downloadable File, September 2026.