Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 1976
NPI: 1992851943
Practice Locations (3)
1000 MAIN ST
BENTLEYVILLE, PA 153141175
7242392010
1000 MAIN ST, PO BOX 202
BENTLEYVILLE, PA 153140202
PO BOX
BENTLEYVILLE, PA 153140202
Source: CMS National Downloadable File, September 2026.