Graduated: 2013
NPI: 1487098463
Practice Locations (2)
HOSPITAL AND MEDICAL FOUNDATION OF PARIS INC
721 E COURT ST
PARIS, IL 619442460
2174654141
OSUP COMMUNITY OUTREACH LLC
601 STATE ROUTE 664 N
LOGAN, OH 431388541
7403808000
Source: CMS National Downloadable File, September 2026.