Medical school: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1104875186
Practice Locations (2)
1200 N BEAVER ST
FLAGSTAFF, AZ 860013118
1200 N BEAVER ST, ATTN PAYER CREDENTIALING
FLAGSTAFF, AZ 860013118
Source: CMS National Downloadable File, September 2026.