Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2006
NPI: 1306047790
Practice Locations (2)
1955 W FRYE RD
CHANDLER, AZ 852246282
4807283000
250 E DUNLAP AVE, JOHN C LINCOLN N MT HOSPITAL
PHOENIX, AZ 850202825
6028706060
Source: CMS National Downloadable File, September 2026.