Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2019
NPI: 1437712692
Practice Locations (1)
PRIME HEALTHCARE FOUNDATION - COSHOCTON, LLC
311 S 15TH ST, ST 101
COSHOCTON, OH 438321874
7406220332
Source: CMS National Downloadable File, September 2026.