Graduated: 1997
NPI: 1326095613
Practice Locations (2)
PRIVIA MEDICAL GROUP ARIZONA, LLC
9305 W THOMAS RD, SUITE 500
PHOENIX, AZ 850373354
6232427997
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
802 AINSWORTH DR, SUITE A
PRESCOTT, AZ 863011623
9284456025
Source: CMS National Downloadable File, September 2026.