Medical school: LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2021
NPI: 1114595394
Practice Locations (2)
JEFFERSON PARK PEDIATRICS P C
3919 W JEFFERSON BLVD, SUITE 1
FORT WAYNE, IN 468046811
2604367722
ADAMS COUNTY MEMORIAL HOSPITAL
205 TOWER DR
MONROE, IN 467729362
2606926163
Source: CMS National Downloadable File, September 2026.