Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 1994
NPI: 1205811130
Practice Locations (2)
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST, LICKING MEMORIAL PATHOLOGY
NEWARK, OH 430551822
2205644266
TRINITY WEST
106 PLAZA DR
SAINT CLAIRSVILLE, OH 439506700
7406955955
Source: CMS National Downloadable File, September 2026.