Medical school: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1508829912
Practice Locations (1)
DHHS IHS PHOENIX AREA
200 W HOSPITAL DR, 860 WHITERIVER INDIAN
WHITERIVER, AZ 859410860
92833849113532
Source: CMS National Downloadable File, September 2026.