Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2006
NPI: 1114117710
Practice Locations (2)
KINGMAN HEALTHCARE INC
1739 E BEVERLY AVE, SUITE 102
KINGMAN, AZ 864093593
9286818693
6345 E BAYWOOD AVE
MESA, AZ 852061744
4809811085
Source: CMS National Downloadable File, September 2026.