Graduated: 1980
NPI: 1063584050
Practice Locations (3)
BANNER-UNIVERSITY MEDICAL GROUP
2800 E AJO WAY
TUCSON, AZ 857136204
BANNER-UNIVERSITY MEDICAL GROUP
4291 N CAMPBELL AVE
TUCSON, AZ 857191117
5204258900
UNM MEDICAL GROUP INC
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 871062719
5052722111
Source: CMS National Downloadable File, September 2026.