Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1205835394
Practice Locations (6)
LICKING MEMORIAL PROFESSIONAL CORPORATION
120 MCMILLEN DR
NEWARK, OH 430551809
2205644806
LICKING MEMORIAL PROFESSIONAL CORPORATION
14 WESTGATE DR
NEWARK, OH 430559369
2205647525
LICKING MEMORIAL PROFESSIONAL CORPORATION
20 W LOCUST ST
NEWARK, OH 430555520
2205644835
LICKING MEMORIAL PROFESSIONAL CORPORATION
36 MCMILLEN DR
NEWARK, OH 430551809
2205644270
LICKING MEMORIAL PROFESSIONAL CORPORATION
88 MCMILLEN DR
NEWARK, OH 430551809
2205644270
LICKING MEMORIAL PROFESSIONAL CORPORATION
1 HEALTHY PL
PATASKALA, OH 430627067
Source: CMS National Downloadable File, September 2026.