Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 2011
NPI: 1841582053
Practice Locations (1)
JTDM FAMILY PRACTICE LLC
1140 S KNOXVILLE AVE, SUITE A
SAINT MARYS, OH 458852609
4193949959
Source: CMS National Downloadable File, September 2026.