Graduated: 2019
NPI: 1023660065
Practice Locations (2)
WHITE TANK MEDICAL PLLC
18761 N REEMS RD, SUITE 400
SURPRISE, AZ 853748646
6235839180
HASSAYAMPA HEALTH SERVICES LLC
40 W YAVAPAI ST
WICKENBURG, AZ 853903201
9286845756
Source: CMS National Downloadable File, September 2026.