Graduated: 2024
NPI: 1952116352
Practice Locations (2)
PROVIDENCE MEDICAL GROUP
1989 MIAMISBURG CENTERVILLE RD, SUITE 301
CENTERVILLE, OH 454593858
9374347353
CG MEDICAL ASSOCIATES INC
3604 WILMINGTON PIKE
KETTERING, OH 454294843
9372940066
Source: CMS National Downloadable File, September 2026.