Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1992
NPI: 1487690749
Practice Locations (2)
BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
6028392000
DIGNITY HEALTH MEDICAL FOUNDATION
2510 AIRPARK DR, SUITE 301
REDDING, CA 960012462
5302423500
Source: CMS National Downloadable File, September 2026.