Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1568427490
Practice Locations (2)
1615 PETROGLYPH POINT DR
Prescott, AZ 863016539
1615 PETROGLYPH POINT DR
PRESCOTT, AZ 863016539
9287770200
Source: CMS National Downloadable File, September 2026.