Graduated: 2000
NPI: 1093037632
Practice Locations (2)
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
5555 W THUNDERBIRD RD
GLENDALE, AZ 853064622
6028655555
HOSPITAL MEDICINE SERVICES OF FL, LLC
340 NW COMMERCE DR, LAKE CITY MEDICAL CENTER
LAKE CITY, FL 320554709
8507199000
Source: CMS National Downloadable File, September 2026.