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Family Medicine Physician
NPI: 1194137158IndividualAccepts Medicare
Specialties, Licenses & Credentials
CMS Specialties
PrimaryFAMILY PRACTICE
Education
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Class of 2014
Contact & Hours
- Address
- 60 PROSPERITY LN
STAFFORD, VA 22556 - Phone
- (757) 594-3800
Quick Facts
- NPI
- 1194137158
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 12
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