Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1124031711
Practice Locations (2)
COMMUNITY PHYSICIAN NETWORK SPECIALTY CARE LLC
8075 N SHADELAND AVE
INDIANAPOLIS, IN 462502693
3176218000
COMMUNITY PHYSICIANS OF INDIANA INC
3500 S LAFOUNTAIN ST
KOKOMO, IN 469023803
7654538571
Source: CMS National Downloadable File, September 2026.