Graduated: 1998
NPI: 1174624837
Practice Locations (3)
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
5555 W THUNDERBIRD RD
GLENDALE, AZ 853064622
6028655555
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
6028392000
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
10401 W THUNDERBIRD BLVD
SUN CITY, AZ 853513004
6238324000
Source: CMS National Downloadable File, September 2026.