Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2019
NPI: 1568020915
Practice Locations (1)
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
1001 WILLOW CREEK RD, SUITE 1200
PRESCOTT, AZ 863011614
9284582850
Source: CMS National Downloadable File, September 2026.