Medical school: UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated: 2001
NPI: 1497753123
Practice Locations (1)
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 853814846
6238763800
Source: CMS National Downloadable File, September 2026.