Graduated: 2013
NPI: 1154797165
Practice Locations (2)
DHHS IHS PHOENIX AREA
943 HUALAPAI WAY, PEACH SPRINGS HEALTH CENTER
PEACH SPRINGS, AZ 864340190
9287692900
DHHS IHS PHOENIX AREA
943 HUALAPAI WAY P O BOX, 190 PEACH SPRINGS HEALTH CENTER
PEACH SPRINGS, AZ 864340190
Source: CMS National Downloadable File, September 2026.