Graduated: 2012
NPI: 1396169017
Practice Locations (2)
HOSPITAL AND MEDICAL FOUNDATION OF PARIS INC
1378 S STATE RD, 46 SUITE C
TERRE HAUTE, IN 478039787
8128772993
ATHLETICO LTD
2155 S STATE RD, SUITE 46
TERRE HAUTE, IN 478039781
8126180651
Source: CMS National Downloadable File, September 2026.