Graduated: 2013
NPI: 1568733137
Practice Locations (2)
NORTHEASTERN ANESTHESIA PLLC
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 859017831
9285374375
NORTHWEST HBP MEDICAL SERVICES LLC
6200 N LA CHOLLA BLVD
TUCSON, AZ 857413529
5202292657
Source: CMS National Downloadable File, September 2026.