Graduated: 2004
NPI: 1326480922
Practice Locations (2)
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
6028392000
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
14502 W MEEKER BLVD
SUN CITY, AZ 853755282
6235244000
Source: CMS National Downloadable File, September 2026.