Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 1989
NPI: 1851377956
Practice Locations (5)
KETTERING INDEPENDENT MEDICAL GROUP INC
7756 WASHINGTON VILLAGE DR, SUITE 135
CENTERVILLE, OH 454593999
9374254137
KETTERING INDEPENDENT MEDICAL GROUP INC
7756 WASHINGTON VILLAGE DR, SUITE 145
DAYTON, OH 454593999
9376103320
KETTERING INDEPENDENT MEDICAL GROUP INC
8701 OLD TROY PIKE
HUBER HEIGHTS, OH 454241053
KETTERING INDEPENDENT MEDICAL GROUP INC
4403 FAR HILLS AVE
KETTERING, OH 454292405
9374335309
KETTERING INDEPENDENT MEDICAL GROUP INC
4441 FAR HILLS AVE
KETTERING, OH 454292405
9372987751
Source: CMS National Downloadable File, September 2026.