Graduated: 2008
NPI: 1215216973
Practice Locations (2)
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
1400 S DOBSON RD
MESA, AZ 852024707
4804123000
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
6028392000
Source: CMS National Downloadable File, September 2026.