Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2002
Offers telehealth
NPI: 1053512822
Practice Locations (2)
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST
NEWARK, OH 430551822
2205644137
OHIOHEALTH CORPORATION
1010 REFUGEE RD, SUITE 310
PICKERINGTON, OH 431479653
6145335000
Source: CMS National Downloadable File, September 2026.