Medical school: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated: 2002
Offers telehealth
NPI: 1124128954
Practice Locations (1)
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
15255 N 40TH ST, BLDG 5 SUITE 135
PHOENIX, AZ 850324684
4804174215
Source: CMS National Downloadable File, September 2026.