Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2015
NPI: 1457732760
Practice Locations (1)
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
5757 W THUNDERBIRD RD, SUITE E151
GLENDALE, AZ 853064685
6028654570
Source: CMS National Downloadable File, September 2026.