Graduated: 2020
NPI: 1841895943
Practice Locations (3)
DEACONESS MEMORIAL MEDICAL CENTER INC
105 COOPER ST
LOOGOOTEE, IN 475532223
8122952812
INDIANA UNIVERSITY HEALTH PAOLI INC
560 W LONGEST ST
PAOLI, IN 474549670
8127237440
DEACONESS MEMORIAL MEDICAL CENTER INC
229 HIGH ST
SHOALS, IN 475815501
8122472733
Source: CMS National Downloadable File, September 2026.