Graduated: 2024
NPI: 1427892595
Practice Locations (2)
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
950 E VAN BUREN ST
AVONDALE, AZ 853231506
6233446800
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
33 W TAMARISK ST
PHOENIX, AZ 850412422
6023446400
Source: CMS National Downloadable File, September 2026.