Medical school: UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated: 2005
NPI: 1942446869
Practice Locations (1)
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE CLINIC INC
1464 JEFFERSON ST N
LEWISBURG, WV 249011380
3046453220
Source: CMS National Downloadable File, September 2026.