Graduated: 2023
NPI: 1265145726
Practice Locations (5)
3012 GLENMORE AVE
CINCINNATI, OH 452382282
3012 GLENMORE AVE, SUITE 104
CINCINNATI, OH 452382282
635 /2 BROWN ST
Zanesville, OH 437012201
635 /2 BROWN ST
ZANESVILLE, OH 437012201
PO BOX, SUITE 900926
SANDY, UT 84090
Source: CMS National Downloadable File, September 2026.