Graduated: 2013
NPI: 1548515406
Practice Locations (3)
DHHS IHS PHOENIX AREA
12033 AGENCY RD
PARKER, AZ 853447718
9286692137
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.