Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
Offers telehealth
NPI: 1194741074
Practice Locations (1)
MANZANITA MEDICAL PLLC
4545 E SHEA BLVD, SUITE 130
PHOENIX, AZ 850283061
4802929532
Source: CMS National Downloadable File, September 2026.