Graduated: 2023
NPI: 1073381687
Practice Locations (2)
BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
6028392000
DISTRICT MEDICAL GROUP INC
2601 E ROOSEVELT ST
PHOENIX, AZ 850084973
6023445011
Source: CMS National Downloadable File, September 2026.