Graduated: 2018
NPI: 1003375825
Practice Locations (6)
7500 N DREAMY DRAW DR, SUITE 100
PHOENIX, AZ 850204668
9700 N 91ST ST, A115
Scottsdale, AZ 852585036
9700 N 91ST ST
SCOTTSDALE, AZ 852585036
250 SKILLMAN ST, SUITE 204
BROOKLYN, NY 112054812
PO BOX, SUITE 772
WOONSOCKET, RI 02895
3742 W 2150, SUITE 150
LEHI, UT 840487802
Source: CMS National Downloadable File, September 2026.