Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1992812424
Practice Locations (2)
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
1 MEDICAL CTR DR
MORGANTOWN, WV 265061200
3042934500
THS PHYSICIAN PARTNERS INC
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 253091311
3044144800
Source: CMS National Downloadable File, September 2026.