Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2021
NPI: 1740867217
Practice Locations (1)
MIDWEST EMERGENCY CENTRALIA CAMPUS ASSOCIATES, INC.
400 N PLEASANT AVE, ST MARY'S HOSPITAL CENTRALIA IL
CENTRALIA, IL 628013056
6184368000
Source: CMS National Downloadable File, September 2026.