Graduated: 2011
NPI: 1457647729
Practice Locations (2)
ARIZONA ACUTE MEDICAL SERVICES 1 PC
2000 W BETHANY HOME RD
PHOENIX, AZ 850152443
6022465681
PROVIDENCE HEALTH AND SERVICES WASHINGTON
500 LILLY RD NE, SUITE 204
OLYMPIA, WA 985065197
3604138272
Source: CMS National Downloadable File, September 2026.