Medical school: MAYO MEDICAL SCHOOL
Graduated: 2019
NPI: 1154982999
Practice Locations (2)
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX, AZ 850165319
6022631200
MAYO CLINIC ARIZONA
5777 E MAYO BLVD, MAYO CLINIC HOSPITAL
PHOENIX, AZ 850544502
8006030558
Source: CMS National Downloadable File, September 2026.