Graduated: 1992
NPI: 1417931205
Practice Locations (2)
CAPPTCG, LLC
1255 N ARIZONA AVE, UNIT 1217
CHANDLER, AZ 852250710
6023806807
ATHLETICO LTD
320 W BELL RD, SUITE 103
PHOENIX, AZ 850233511
6027676690
Source: CMS National Downloadable File, September 2026.