Graduated: 2001
NPI: 1336136209
Practice Locations (2)
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
1300 S COUNTRY CLUB DR, SUITE 3
MESA, AZ 852105162
4808275500
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
33 W TAMARISK ST
PHOENIX, AZ 850412422
6023446400
Source: CMS National Downloadable File, September 2026.