Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1982
Offers telehealth
NPI: 1992711824
Practice Locations (2)
MAINEHEALTH
81 MEDICAL CTR DR
BRUNSWICK, ME 040112765
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
Source: CMS National Downloadable File, September 2026.