Graduated: 2014
NPI: 1437566957
Practice Locations (2)
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
5555 W THUNDERBIRD RD
GLENDALE, AZ 853064622
6028655555
SJHMC PHYSICIAN SERVICES
350 W THOMAS RD
PHOENIX, AZ 850134409
6024063000
Source: CMS National Downloadable File, September 2026.