Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1003883646
Practice Locations (2)
UPPER VALLEY PROFESSIONAL CORPORATION
450 N HYATT ST
TIPP CITY, OH 453711433
9376699978
UPPER VALLEY PROFESSIONAL CORPORATION
471 MARKER RD
VERSAILLES, OH 453809324
9375269843
Source: CMS National Downloadable File, September 2026.