Graduated: 2018
NPI: 1063040954
Practice Locations (2)
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
1800 E FLORENCE BLVD
CASA GRANDE, AZ 851225303
5203816300
BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
6028392000
Source: CMS National Downloadable File, September 2026.