Medical school: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated: 2003
NPI: 1457518011
Practice Locations (2)
BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
1441 N 12TH ST, FL 2
PHOENIX, AZ 850062837
8442424664
ARIZONA ADVANCED SURGERY LLC
3501 N SCOTTSDALE RD, SUITE 222
SCOTTSDALE, AZ 852515649
4809694138
Source: CMS National Downloadable File, September 2026.