Medical school: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1990
NPI: 1194838458
Practice Locations (2)
OSUP COMMUNITY OUTREACH LLC
543 TAYLOR AVE
COLUMBUS, OH 432031278
6143663687
OSUP COMMUNITY OUTREACH LLC
6100 N HAMILTON RD
WESTERVILLE, OH 430812062
6142934969
Source: CMS National Downloadable File, September 2026.