Graduated: 2021
NPI: 1104375732
Practice Locations (5)
5350 E ERICKSON DR
TUCSON, AZ 857122822
5390 E ERICKSON DR
TUCSON, AZ 857122822
312 ARIZONA AVE, SUITE 314
SANTA MONICA, CA 904011306
120 BRENTWOOD COMMONS WAY, SUITE 510
BRENTWOOD, TN 370272028
PO BOX, SUITE 4682
LOGAN, UT 843234682
Source: CMS National Downloadable File, September 2026.