Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2018
NPI: 1538331137
Practice Locations (2)
DHHS IHS PHOENIX AREA
200 W HOSPITAL DR
WHITERIVER, AZ 859410860
92833849113532
DHHS IHS PHOENIX AREA
PO BOX, SUITE 860
WHITERIVER, AZ 859410860
Source: CMS National Downloadable File, September 2026.