Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2011
NPI: 1215280805
Practice Locations (2)
DHHS IHS PHOENIX AREA
200 W HOSPITAL DR
WHITERIVER, AZ 859410860
92833849113532
DHHS IHS PHOENIX AREA
PO BOX, SUITE 860
WHITERIVER, AZ 859410860
Source: CMS National Downloadable File, September 2026.