Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 2019
Offers telehealth
NPI: 1205397288
Practice Locations (1)
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
37100 N GANTZEL RD, SUITE 201
SAN TAN VALLEY, AZ 851407352
4803944469
Source: CMS National Downloadable File, September 2026.