Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1975
NPI: 1932292034
Practice Locations (2)
1208 KANAWHA BLVD E
Charleston, WV 253012901
1208 KANAWHA BLVD E
CHARLESTON, WV 253012901
3043437559
Source: CMS National Downloadable File, September 2026.