Graduated: 1974
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1982756094
Practice Locations (3)
130 E RIDGE RD
CHARLESTON, WV 253141666
3043451501
3200 MACCORKLE AVE SE
CHARLESTON, WV 253041227
CLARK ALLIANCE SERVICES INC
3200 MACCORKLE AVE SE
CHARLESTON, WV 253041227
7572765020
Source: CMS National Downloadable File, September 2026.