Graduated: 2007
NPI: 1457538431
Practice Locations (2)
BISBEE HOSPITAL ASSOCIATION
101 COLE AVE
BISBEE, AZ 856031327
5204325383
TRI-STATE MEDICAL SPECIALISTS LLC
1510 E WAGON WHEEL LN, SUITE 110
FORT MOHAVE, AZ 864266698
9287883333
Source: CMS National Downloadable File, September 2026.