Medical school: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated: 1990
NPI: 1386680916
Practice Locations (1)
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
7700 E FLORENTINE RD, SUITE 101
PRESCOTT VALLEY, AZ 863142245
9284428710
Source: CMS National Downloadable File, September 2026.