Graduated: 2012
NPI: 1427323682
Practice Locations (5)
LICKING MEMORIAL PROFESSIONAL CORPORATION
120 MCMILLEN DR
NEWARK, OH 430551809
2205644806
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST
NEWARK, OH 430551822
LICKING MEMORIAL PROFESSIONAL CORPORATION
36 MCMILLEN DR
NEWARK, OH 430551809
2205644270
LICKING MEMORIAL PROFESSIONAL CORPORATION
88 MCMILLEN DR
NEWARK, OH 430551809
2205644270
GENESIS ANESTHESIA PROVIDERS, LLC
2951 MAPLE AVE
ZANESVILLE, OH 437011406
7404545000
Source: CMS National Downloadable File, September 2026.