Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 2000
NPI: 1205822632
Practice Locations (2)
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.