Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 2000
Also: MAXILLOFACIAL SURGERY
NPI: 1083673610
Practice Locations (1)
BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
1441 N 12TH ST, FL 2
PHOENIX, AZ 850062837
8442424664
Source: CMS National Downloadable File, September 2026.