Medical school: KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated: 2004
NPI: 1376707638
Practice Locations (2)
LILAC HEALTHCARE LLC
655 S DOBSON RD, SUITE 101
CHANDLER, AZ 852245668
LILAC HEALTHCARE LLC
655 S DOBSON RD, SUITE A101
CHANDLER, AZ 852245667
4804592555
Source: CMS National Downloadable File, September 2026.