Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2017
NPI: 1720519937
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
1600 EUREKA RD
ROSEVILLE, CA 956613027
9167844000
ICH ER SERVICES LLC
800 N FANT ST
ANDERSON, SC 296215708
8645121000
Source: CMS National Downloadable File, September 2026.