Graduated: 2002
NPI: 1356560874
Practice Locations (3)
1930 E THOMAS RD
PHOENIX, AZ 850167711
6025321000
2000 W BETHANY HOME RD
PHOENIX, AZ 850152443
6022490212
3929 E BELL RD
PHOENIX, AZ 850322112
6029235000
Source: CMS National Downloadable File, September 2026.