Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 1990
NPI: 1457343196
Practice Locations (1)
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
1811 E MCMURRAY BLVD
CASA GRANDE, AZ 851225404
5203746530
Source: CMS National Downloadable File, September 2026.