Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1003273384
Practice Locations (5)
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX, AZ 850165319
6022631200
REGENTS OF THE UNIVERSITY OF
101 THE CITY DR S
ORANGE, CA 928683201
7144567004
BAPTIST HEALTH MEDICAL GROUP INC
11701 BLUEGRASS PKWY, SUITE 100
LOUISVILLE, KY 402992302
5029284100
SOUTHEASTERN EMERGENCY PHYSICIANS LLC
435 2ND ST
NEWPORT, TN 378213703
4236252200
PEARSALL EMERGENCY MEDICINE ASSOCIATES, PA
1890 GEORGE DIETER DR
EL PASO, TX 799364327
9152257116
Source: CMS National Downloadable File, September 2026.