Graduated: 2024
NPI: 1285447995
Practice Locations (3)
CG MEDICAL ASSOCIATES INC
5390 DIXIE HWY
FAIRFIELD, OH 450144124
5138682345
PROVIDENCE MEDICAL GROUP
2912 SPRINGBORO W
MORAINE, OH 454391674
PROVIDENCE MEDICAL GROUP
70 REMICK BLVD
SPRINGBORO, OH 450669168
9378850701
Source: CMS National Downloadable File, September 2026.