Graduated: 1996
NPI: 1144228065
Practice Locations (2)
ATHLETICO LTD
2051 W CHANDLER BLVD, SUITE 3
CHANDLER, AZ 852246239
4805668150
ATHLETICO LTD
6070 W BELL RD, SUITE A103
GLENDALE, AZ 853083774
6027823965
Source: CMS National Downloadable File, September 2026.