Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1376527663
Practice Locations (2)
25 HIDDEN RAVINES DR
POWELL, OH 430659883
6148327144
GENESIS MEDICAL GROUP, LLC
955 BETHESDA DR
ZANESVILLE, OH 437011873
7404506147
Source: CMS National Downloadable File, September 2026.