Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
Offers telehealth
NPI: 1174575013
Practice Locations (3)
PO BOX, SUITE 1214
Cornville, AZ 863251214
PO BOX, SUITE 10880
PRESCOTT, AZ 86304
PO BOX, SUITE 10880
PRESCOTT, AZ 863040880
Source: CMS National Downloadable File, September 2026.