Graduated: 2020
NPI: 1740899459
Practice Locations (2)
MOUNT CARMEL - OSU PHYSICIAN ALLIANCE LLC
55 PARK AVE, SUITE 275
LONDON, OH 431401294
7408457500
OSUP COMMUNITY OUTREACH LLC
6100 N HAMILTON RD
WESTERVILLE, OH 430812062
6142934969
Source: CMS National Downloadable File, September 2026.