Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1720188899
Practice Locations (2)
NORTHSIDE FAMILY PHYSICIANS, LTD.
280 RED COACH DR
SPRINGFIELD, OH 455031297
9373993010
CLARK COUNTY
529 E HOME RD
SPRINGFIELD, OH 455032710
9373905600
Source: CMS National Downloadable File, September 2026.