Graduated: 1998
NPI: 1003878125
Practice Locations (4)
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
120 E MAIN ST, SUITE A
PAYSON, AZ 855415618
9285964700
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
126 E MAIN ST, SUITE D
PAYSON, AZ 855415488
9285964800
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
807 S PONDEROSA ST
PAYSON, AZ 855415542
9284713222
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
37100 N GANTZEL RD, SUITE 201
SAN TAN VALLEY, AZ 851407352
4803944469
Source: CMS National Downloadable File, September 2026.