Graduated: 2021
NPI: 1467009340
Practice Locations (2)
OCOTILLO MEDICAL GROUP LLC
2815 E OCOTILLO RD, SUITE 4
CHANDLER, AZ 852496040
4809267800
ELLSWORTH MEDICAL GROUP LLC
21323 S ELLSWORTH LOOP RD, SUITE 101
QUEEN CREEK, AZ 851429865
4803078440
Source: CMS National Downloadable File, September 2026.