Graduated: 2013
NPI: 1730503624
Practice Locations (2)
PREMIER ANESTHESIA OF OHIO LLC
6001 E BROAD ST
COLUMBUS, OH 432131502
6786907808
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST, LICKING MEMORIAL ANESTHESIOLOGY
NEWARK, OH 430551822
2205644226
Source: CMS National Downloadable File, September 2026.