Graduated: 1988
NPI: 1225080377
Practice Locations (2)
SAN CARLOS APACHE HEALTHCARE CORPORATION
103 MEDICINE WAY RD
PERIDOT, AZ 855420787
9284751400
TUCSON PHYSICIAN GROUP HOLDINGS LLC
1601 W SAINT MARYS RD
TUCSON, AZ 857452623
5208723000
Source: CMS National Downloadable File, September 2026.