Graduated: 2003
NPI: 1114085529
Practice Locations (3)
PONDEROSA FAMILY CARE LLC
708 S COEUR D ALENE LN
PAYSON, AZ 855415662
9284688603
PONDEROSA FAMILY CARE LLC
806 S PONDEROSA ST
PAYSON, AZ 855415541
9284688603
NEBRASKA PEACE OF MIND BEHAVIORAL HEALTH
6301 ORCHARD ST, SUITE 3
LINCOLN, NE 685051807
4025206616
Source: CMS National Downloadable File, September 2026.