Graduated: 1999
NPI: 1144228420
Practice Locations (2)
KINGMAN HEALTHCARE INC
1739 E BEVERLY AVE, SUITE 200
KINGMAN, AZ 864093593
9286818705
YAVAPAI PRIMARY CARE
3075 N WINDSONG DR, SUITE B1
PRESCOTT VALLEY, AZ 863141208
9285350878
Source: CMS National Downloadable File, September 2026.