Graduated: 2022
NPI: 1366148819
Practice Locations (2)
PREMIER HEALTH SPECIALISTS INC
1 WYOMING ST
DAYTON, OH 454092722
9372088000
KETTERING INDEPENDENT MEDICAL GROUP INC
3700 SOUTHERN BLVD, SUITE 201
KETTERING, OH 454291265
8555002873
Source: CMS National Downloadable File, September 2026.