Graduated: 2013
NPI: 1093144271
Practice Locations (3)
2145 E BASELINE RD, SUITE 101
TEMPE, AZ 852831546
4302 BUTTERFIELD WAY
LAS VEGAS, NV 891033105
2705 BROADWAY ST, SUITE 101
PEARLAND, TX 775814902
Source: CMS National Downloadable File, September 2026.