Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2018
NPI: 1760985121
Practice Locations (2)
DENNISON RENAL CARE, INC.
985 W 3RD AVE
COLUMBUS, OH 432123109
6142910022
OSUP COMMUNITY OUTREACH LLC
601 STATE ROUTE 664 N
LOGAN, OH 431388541
7403808000
Source: CMS National Downloadable File, September 2026.