Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1978
NPI: 1710022116
Practice Locations (3)
143 N SUNSET DR, SUITE 100
PIQUA, OH 453562645
9377735646
1744 W HIGH ST
PIQUA, OH 453568332
9377730500
3130 N DIXIE HWY
TROY, OH 453731337
9374404000
Source: CMS National Downloadable File, September 2026.