Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2001
NPI: 1518926773
Practice Locations (2)
1851 MESQUITE AVE, SUITE 210
LAKE HAVASU CITY, AZ 864035681
4611 E PALO VERDE DR
PHOENIX, AZ 850181258
Source: CMS National Downloadable File, September 2026.