Graduated: 2020
NPI: 1104403708
Practice Locations (2)
DHHS IHS PHOENIX AREA
943 HUALAPAI WAY, PEACH SPRINGS HEALTH CENTER
PEACH SPRINGS, AZ 864340190
9287692900
DHHS PHS IHS PHOENIX AREA
401 PICACHO RD
WINTERHAVEN, CA 922839605
7605724137
Source: CMS National Downloadable File, September 2026.