Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2002
NPI: 1467575241
Practice Locations (1)
BANNER-UNIVERSITY MEDICAL GROUP
1625 N CAMPBELL AVE
TUCSON, AZ 857194330
5206940111
Source: CMS National Downloadable File, September 2026.