Graduated: 2017
NPI: 1356854491
Practice Locations (2)
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST
NEWARK, OH 430551822
2205644000
GENESIS EMERGENCY PHYSICIANS LLC
2951 MAPLE AVE
ZANESVILLE, OH 437011406
7404544000
Source: CMS National Downloadable File, September 2026.