Graduated: 2019
NPI: 1407411713
Practice Locations (2)
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
570 W BROWN RD
MESA, AZ 852013227
4803445011
DISTRICT MEDICAL GROUP INC
5102 W CAMPBELL AVE
PHOENIX, AZ 850311703
6023445011
Source: CMS National Downloadable File, September 2026.