Graduated: 2019
NPI: 1447713805
Practice Locations (2)
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
2601 E ROOSEVELT ST
PHOENIX, AZ 850084973
6023445011
SJHMC PHYSICIAN SERVICES
350 W THOMAS RD
PHOENIX, AZ 850134409
6024063000
Source: CMS National Downloadable File, September 2026.