Graduated: 1969
Also: NUCLEAR MEDICINE
NPI: 1114033875
Practice Locations (2)
BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
807 S PONDEROSA ST
PAYSON, AZ 855415542
9284713222
BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
37000 N GANTZEL RD
SAN TAN VALLEY, AZ 851407303
4803944000
Source: CMS National Downloadable File, September 2026.