Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2018
NPI: 1003310970
Practice Locations (1)
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
5601 W EUGIE AVE, SUITE 100
GLENDALE, AZ 853041256
6028654510
Source: CMS National Downloadable File, September 2026.