Graduated: 2014
NPI: 1255748380
Practice Locations (2)
BANNER-UNIVERSITY MEDICAL GROUP
1625 N CAMPBELL AVE
TUCSON, AZ 857194330
5206940111
PROHEALTH MEDICAL GROUP INC
725 AMERICAN AVE
WAUKESHA, WI 531885031
2629281000
Source: CMS National Downloadable File, September 2026.