Graduated: 1989
NPI: 1932290939
Practice Locations (2)
UNIVERSITY PHYSICIANS AND SURGEONS, INC
1249 15TH ST, SUITE 4000
HUNTINGTON, WV 257013663
3046918500
ST. MARY'S HIMG, LLC
3075 US ROUTE 60, SUITE D265
HUNTINGTON, WV 257058859
3045284600
Source: CMS National Downloadable File, September 2026.