Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2003
Offers telehealth
NPI: 1841264363
Practice Locations (1)
CENTENNIAL MEDICAL GROUP INC
2700 NW STEWART PKWY
ROSEBURG, OR 974711281
5416772452
Source: CMS National Downloadable File, September 2026.