Graduated: 2015
NPI: 1114391000
Practice Locations (2)
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
2525 E ROOSEVELT ST
PHOENIX, AZ 850084948
6023441159
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
33 W TAMARISK ST
PHOENIX, AZ 850412422
6023446400
Source: CMS National Downloadable File, September 2026.