Graduated: 1993
NPI: 1215998604
Practice Locations (2)
GILA RIVER HEALTH CARE CORPORATION
17487 S HEALTH CARE DR, HU HU KAM MEMORIAL HOSPITAL
LAVEEN, AZ 853390038
5205506000
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX, AZ 850165319
6022631200
Source: CMS National Downloadable File, September 2026.