Graduated: 2018
NPI: 1295229573
Practice Locations (2)
DISTRICT MEDICAL GROUP INC
2601 E ROOSEVELT ST
PHOENIX, AZ 850084973
6023445011
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
33 W TAMARISK ST
PHOENIX, AZ 850412422
6023446400
Source: CMS National Downloadable File, September 2026.