Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1063449080
Practice Locations (2)
SJHMC PHYSICIAN SERVICES
1955 W FRYE RD
CHANDLER, AZ 852246282
6027283000
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
13943 N 91ST AVE, SUITE B101
PEORIA, AZ 853813688
6234765190
Source: CMS National Downloadable File, September 2026.