Medical school: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1998
NPI: 1245238120
Practice Locations (4)
LICKING MEMORIAL PROFESSIONAL CORPORATION
687 HOPEWELL DR, SUITE 2
HEATH, OH 430561579
2205647915
LICKING MEMORIAL PROFESSIONAL CORPORATION
120 MCMILLEN DR
NEWARK, OH 430551809
2205644806
LICKING MEMORIAL PROFESSIONAL CORPORATION
36 MCMILLEN DR
NEWARK, OH 430551809
2205644270
LICKING MEMORIAL PROFESSIONAL CORPORATION
88 MCMILLEN DR
NEWARK, OH 430551809
2205644270
Source: CMS National Downloadable File, September 2026.