Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.
Primary Practice Address
Last Updated 4/21/2018
US Air Force
42 MDG
Maxwell AFB, AL 36112
Phone: 334-953-7875
Location Details
- Practitioner spends 10% of time at this location.
Years in Active Clinical Practice
Last Updated 4/21/2018
Years in Active Clinical Practice Inside US/Canada: 7
Medicaid
Last Updated 4/21/2018
Does Not Participate in the Virginia Medicaid program Is not accepting new Virginia Medicaid patients
Medicare
Last Updated 4/21/2018
Is a Medicare participating provider
Virginia
Hospital Affiliations
Last Updated 4/21/2018
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 4/21/2018
(Kettering,OH) Kettering Medical Center
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