Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 1975
NPI: 1083674857
Practice Locations (4)
11046 N SAGUARO BLVD, SUITE 2
FOUNTAIN HILLS, AZ 852685537
4808372240
ACTIVE VITAL CARE LLC
1928 E HIGHLAND AVE, SUITE F104
PHOENIX, AZ 850164626
8332420100
2375 E CAMELBACK RD, SUITE 600
PHOENIX, AZ 850163493
3815 E BELL RD, SUITE 4300
PHOENIX, AZ 850322169
6025692321
Source: CMS National Downloadable File, September 2026.