Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1988
NPI: 1689676942
Practice Locations (2)
159 E 2ND ST
CHILLICOTHE, OH 456012526
7407736347
412 ST RT 7
GALLIPOLIS, OH 456315917
7404460112
Source: CMS National Downloadable File, September 2026.