Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1124017009
Practice Locations (2)
GREATER PHOENIX COLLABORATIVE CARE PC
20040 N 19TH AVE
PHOENIX, AZ 850274255
6022490115
GREATER PHOENIX COLLABORATIVE CARE PC
5830 N 19TH AVE
PHOENIX, AZ 850152494
6023361966
Source: CMS National Downloadable File, September 2026.