Medical school: SAGINAW VALLEY MEDICAL COLLEGE - NLG
Graduated: 2012
NPI: 1093073041
Practice Locations (1)
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
1001 WILLOW CREEK RD, SUITE 2200
PRESCOTT, AZ 863011614
9284456025
Source: CMS National Downloadable File, September 2026.