Graduated: 2010
NPI: 1255620019
Practice Locations (2)
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
6644 E BAYWOOD AVE
MESA, AZ 852061747
4803212000
BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
6028392000
Source: CMS National Downloadable File, September 2026.