Graduated: 2005
NPI: 1093928285
Practice Locations (6)
2400 S AVE A
Yuma, AZ 853647127
2400 S AVE A
YUMA, AZ 853647127
11109 PARKVIEW PLAZA DR, SUITE 117
Fort Wayne, IN 468451701
11109 PARKVIEW PLAZA DR, SUITE 117
FORT WAYNE, IN 468451701
700 CHILDRENS DR
Columbus, OH 432052664
700 CHILDRENS DR
COLUMBUS, OH 432052639
Source: CMS National Downloadable File, September 2026.