Graduated: 2013
NPI: 1356964522
Practice Locations (4)
PO BOX, SUITE 3630
FLAGSTAFF, AZ 86003
3966 LINDSEY AVE
KINGMAN, AZ 864090966
1355 N SCOTTSDALE RD, SUITE 240
SCOTTSDALE, AZ 852573594
450 W PASEO REDONDO
TUCSON, AZ 857018274
Source: CMS National Downloadable File, September 2026.