Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2021
NPI: 1245813781
Practice Locations (4)
PO BOX, SUITE 600
TUBA CITY, AZ 86045
PO BOX, SUITE 600
TUBA CITY, AZ 860450600
5525 EASTERN AVE, SUITE 301
BALTIMORE, MD 212242796
34 BEECHAM CT
OWINGS MILLS, MD 211176001
Source: CMS National Downloadable File, September 2026.