Graduated: 2022
NPI: 1497491765
Practice Locations (2)
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
2025 W NORTHERN AVE
PHOENIX, AZ 850215157
6026556300
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
33 W TAMARISK ST
PHOENIX, AZ 850412422
6023446400
Source: CMS National Downloadable File, September 2026.