Medical school: WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated: 2019
NPI: 1467912873
Practice Locations (2)
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
2525 E ROOSEVELT ST
PHOENIX, AZ 850084948
6023441159
DISTRICT MEDICAL GROUP INC
2601 E ROOSEVELT ST
PHOENIX, AZ 850084973
6023445011
Source: CMS National Downloadable File, September 2026.