Graduated: 2023
NPI: 1952173403
Practice Locations (2)
ST ELIZABETH MEDICAL CENTER, INC
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 410173403
8593014723
UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC
3151 BELLEVUE AVE
CINCINNATI, OH 452192370
5134758000
Source: CMS National Downloadable File, September 2026.