Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2025
NPI: 1396586707
Practice Locations (2)
BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
5310 W THUNDERBIRD RD, SUITE 308
GLENDALE, AZ 853064710
6028654442
BHSM REHABILITATION LLC
25101 N LAKE PLEASANT PKWY, SUITE B 1340
PEORIA, AZ 853831386
6026106866
Source: CMS National Downloadable File, September 2026.