Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 1997
Offers telehealth
NPI: 1063518371
Practice Locations (2)
185 WADSWORTH RD, SUITE 2E
WADSWORTH, OH 442818330
185 WADSWORTH RD, SUITE E
WADSWORTH, OH 442819585
3303365046
Source: CMS National Downloadable File, September 2026.