Graduated: 1985
NPI: 1164545190
Practice Locations (2)
PRIME HEALTHCARE FOUNDATION - COSHOCTON, LLC
311 S 15TH ST, SUITE 206
COSHOCTON, OH 438121875
7402953360
HOSPITAL CARE GROUP PC
915 MICHIGAN ST
SIDNEY, OH 453652401
2603444035
Source: CMS National Downloadable File, September 2026.