Graduated: 2010
NPI: 1114282464
Practice Locations (2)
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
5555 W THUNDERBIRD RD
GLENDALE, AZ 853064622
6028655555
CHI HEALTH CLINIC SPECIALTY LLC
555 S 70TH ST, ST ELIZABETH REGIONAL MED CENTER
LINCOLN, NE 685102462
4022198000
Source: CMS National Downloadable File, September 2026.