Graduated: 2000
NPI: 1255452868
Practice Locations (2)
IU HEALTH MEDICAL GROUP, LLC
1701 N SENATE BLVD
INDIANAPOLIS, IN 462021239
8884843258
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034948311
Source: CMS National Downloadable File, September 2026.