Medical school: EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated: 2022
NPI: 1396494076
Practice Locations (2)
BHSM REHABILITATION LLC
25101 N LAKE PLEASANT PKWY, SUITE B 1340
PEORIA, AZ 853831386
6026106866
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
4375 E IRMA LN
PHOENIX, AZ 850504312
4808905800
Source: CMS National Downloadable File, September 2026.