Medical school: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2006
NPI: 1356554539
Practice Locations (4)
NORTH SHORE-LIJ MEDICAL PC
11913 GREY PARTRIDGE DR
CHARLOTTE, NC 282780084
5164057080
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
11913 GREY PARTRIDGE DR
CHARLOTTE, NC 282780084
5164057080
NORTH SHORE-LIJ MEDICAL PC
1 HEROES WAY
RIVERHEAD, NY 119012054
6315486000
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
1220 HICKSVILLE RD
SEAFORD, NY 117831604
5162663456
Source: CMS National Downloadable File, September 2026.