Graduated: 2016
NPI: 1952835001
Practice Locations (2)
WELLSPAN MEDICAL GROUP
169 MARTIN AVE
EPHRATA, PA 175221724
7177214740
DUBOIS REGIONAL MEDICAL CENTER
763 JOHNSONBURG RD
SAINT MARYS, PA 158573417
8147888000
Source: CMS National Downloadable File, September 2026.