Graduated: 2016
NPI: 1568120681
Practice Locations (2)
MOUNTAIN PARK HEALTH CENTER
140 N LITCHFIELD RD, SUITE 200AND106
GOODYEAR, AZ 853381277
6022437277
PRISMA COMMUNITY CARE
1101 N CENTRAL AVE, SUITE 200
PHOENIX, AZ 850041844
6023075330
Source: CMS National Downloadable File, September 2026.