Graduated: 2012
NPI: 1497004709
Practice Locations (2)
PREMIER ANESTHESIA OF OHIO LLC
275 TAYLOR STATION RD
COLUMBUS, OH 432132927
6147514466
SOMC MEDICAL CARE FOUNDATION, INC.
1805 27TH ST
PORTSMOUTH, OH 456622640
7403568117
Source: CMS National Downloadable File, September 2026.