Medical school: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1437157203
Practice Locations (2)
3109 CLEARWATER DR, SUITE A
PRESCOTT, AZ 863057154
9287781066
3109 CLEARWATER DR A
PRESCOTT, AZ 863057154
Source: CMS National Downloadable File, September 2026.