Graduated: 2015
NPI: 1336536994
Practice Locations (2)
MODENA ALLERGY AND ASTHMA INC.
4835 E CACTUS RD, SUITE 130
SCOTTSDALE, AZ 852543545
4805814877
BANNER-UNIVERSITY MEDICAL GROUP
1625 N CAMPBELL AVE
TUCSON, AZ 857194330
5206940111
Source: CMS National Downloadable File, September 2026.