Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 1993
NPI: 1821007949
Practice Locations (1)
JTDM FAMILY PRACTICE LLC
1140 S KNOXVILLE AVE, SUITE C1
SAINT MARYS, OH 458852609
4193949595
Source: CMS National Downloadable File, September 2026.