Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2024
NPI: 1487145967
Practice Locations (3)
PO BOX, SUITE 3630
FLAGSTAFF, AZ 86003
16160 S 50TH ST APT, SUITE 249
Phoenix, AZ 850480461
50 W PASEO REDONDO
TUCSON, AZ 857018274
Source: CMS National Downloadable File, September 2026.