Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2011
NPI: 1407149487
Practice Locations (1)
SOUTHERN OREGON ORTHOPEDICS INC
702 SW RAMSEY AVE, SUITE 112
GRANTS PASS, OR 975275859
5414720603
Source: CMS National Downloadable File, September 2026.