Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1073700928
Practice Locations (1)
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
1001 WILLOW CREEK RD, SUITE 1300
PRESCOTT, AZ 863011614
9287084554
Source: CMS National Downloadable File, September 2026.