Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1986
NPI: 1790878726
Practice Locations (2)
NUVANCE HEALTH MEDICAL PRACTICE PC
45 READE PL
POUGHKEEPSIE, NY 126013947
8454548500
MONUMENT HEALTH RAPID CITY HOSPITAL INC
353 FAIRMONT BLVD
RAPID CITY, SD 577017375
6057558109
Source: CMS National Downloadable File, September 2026.