Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Nov 9, 2006
License(s)
MD066542L (PA), 35081721 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 90 N 4TH ST | Martins Ferry, OH 43935-1648 | 740-633-4480 |
| LOCATION | 90 N 4TH ST FL 1 | Martins Ferry, OH 43935-1648 | 740-633-4480 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.