Graduated: 2014
NPI: 1124446315
Practice Locations (2)
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
5555 W THUNDERBIRD RD
GLENDALE, AZ 853064622
6028655555
PROHEALTH MEDICAL GROUP INC
725 AMERICAN AVE
WAUKESHA, WI 531885031
2629287276
Source: CMS National Downloadable File, September 2026.