Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2000
Offers telehealth
NPI: 1053384834
Practice Locations (2)
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
7701 W ASPERA BLVD, STES 102 201 301
GLENDALE, AZ 853087935
6232482100
KETTERING INDEPENDENT MEDICAL GROUP INC
7700 WASHINGTON VILLAGE DR, SUITE 130
CENTERVILLE, OH 454594094
9375310195
Source: CMS National Downloadable File, September 2026.