Graduated: 2004
NPI: 1154318962
Practice Locations (2)
PREMIER ANESTHESIA OF OHIO LLC
6001 E BROAD ST
COLUMBUS, OH 432131502
6786907808
CAMDEN-CLARK PHYSICIAN CORPORATION
800 GARFIELD AVE
PARKERSBURG, WV 261015376
3044242111
Source: CMS National Downloadable File, September 2026.