Graduated: 2021
NPI: 1255003174
Practice Locations (2)
PRIVIA MEDICAL GROUP ARIZONA, LLC
14415 W MCDOWELL RD, SUITE D102
GOODYEAR, AZ 853952521
6235124190
MOUNTAIN PARK HEALTH CENTER
635 E BASELINE RD
PHOENIX, AZ 850426551
6022437277
Source: CMS National Downloadable File, September 2026.