Graduated: 2025
NPI: 1033908280
Practice Locations (2)
DERMATOLOGY AND SURGERY OF SOUTHERN OHIO, INC.
1213 NILLES RD
FAIRFIELD, OH 450142911
5138586900
DERMATOLOGY AND SURGERY OF SOUTHERN OHIO, INC.
7132 CINCINNATI DAYTON RD, SUITE 200
LIBERTY TOWNSHIP, OH 450691776
5138586900
Source: CMS National Downloadable File, September 2026.