Graduated: 2013
NPI: 1497177232
Practice Locations (2)
BANNER-UNIVERSITY MEDICAL GROUP
1625 N CAMPBELL AVE
TUCSON, AZ 857194330
5206940111
SANFORD MEDICAL CENTER FARGO
801 BROADWAY N
FARGO, ND 581023641
7012342000
Source: CMS National Downloadable File, September 2026.