Graduated: 2024
NPI: 1407603301
Practice Locations (2)
BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
1300 N 12TH ST, SUITE 508
PHOENIX, AZ 850062849
6028393927
BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
1441 N 12TH ST
PHOENIX, AZ 850062837
8442424664
Source: CMS National Downloadable File, September 2026.