Graduated: 1978
NPI: 1164481156
Practice Locations (2)
BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
1441 N 12TH ST, FL 2
PHOENIX, AZ 850062837
8442424664
SHAWNEE MISSION MEDICAL CENTER INC
9100 W 74TH ST, AHMG CARDIOLOGY AT SHAWNEE MISSION
MERRIAM, KS 662044004
9136762000
Source: CMS National Downloadable File, September 2026.