Graduated: 1994
NPI: 1477512838
Practice Locations (2)
NORTHWEST HBP MEDICAL SERVICES LLC
6200 N LA CHOLLA BLVD
TUCSON, AZ 857413529
5202292657
KINGS DAUGHTERS MEDICAL SPECIALTIES INC
613 23RD ST, SUITE G10
ASHLAND, KY 411012886
6064085864
Source: CMS National Downloadable File, September 2026.