Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 1994
NPI: 1386621027
Practice Locations (8)
KETTERING INDEPENDENT MEDICAL GROUP INC
7756 WASHINGTON VILLAGE DR, SUITE 135
CENTERVILLE, OH 454593999
9374254137
KETTERING INDEPENDENT MEDICAL GROUP INC
1989 MIAMISBURG CENTERVILLE RD, SUITE 201
CENTERVILLE, OH 454593858
9374017575
KETTERING INDEPENDENT MEDICAL GROUP INC
7756 WASHINGTON VILLAGE DR, SUITE 145
DAYTON, OH 454593999
9376103320
KETTERING INDEPENDENT MEDICAL GROUP INC
1250 W NATIONAL RD, SUITE 450
ENGLEWOOD, OH 453159505
9377712046
KETTERING INDEPENDENT MEDICAL GROUP INC
1250 W NATIONAL RD
ENGLEWOOD, OH 453159505
9374580085
KETTERING INDEPENDENT MEDICAL GROUP INC
8701 OLD TROY PIKE
HUBER HEIGHTS, OH 454241053
KETTERING INDEPENDENT MEDICAL GROUP INC
4441 FAR HILLS AVE
KETTERING, OH 454292405
9372987751
KETTERING INDEPENDENT MEDICAL GROUP INC
4403 FAR HILLS AVE
KETTERING, OH 454292405
9374335309
Source: CMS National Downloadable File, September 2026.