Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 3/1/2019
Department of Justice, FBI
935 Pennsylvania Avenue NW
Washington, DC 20535
Location Details
- Practitioner spends 95% of time at this location.
- Days that practitioner sees patients at this location:
None
Years in Active Clinical Practice
Last Updated 3/1/2019
Years in Active Clinical Practice Inside US/Canada: 13
Medicaid
Last Updated 3/1/2019
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Virginia
Hospital Affiliations
Last Updated 3/1/2019
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 3/1/2019
(Newark,OH) Licking Memorial Hospital
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