Medical school: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1275483919
Practice Locations (2)
10240 W INDIAN SCHOOL RD, SUITE 115
PHOENIX, AZ 850375905
10240 W INDIAN SCHOOL RD, SUITE 115
SURPRISE, AZ 850375905
Source: CMS National Downloadable File, September 2026.