Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2008
NPI: 1154586071
Practice Locations (3)
1200 N BEAVER ST, NAH PAYER CREDENTIALING
FLAGSTAFF, AZ 860013118
2108 E THOMAS RD, SUITE 130
Phoenix, AZ 850167761
2108 E THOMAS RD, SUITE 130
PHOENIX, AZ 850160008
Source: CMS National Downloadable File, September 2026.