Graduated: 2013
NPI: 1568894152
Practice Locations (3)
COUNTY OF YAVAPAI
51 S BRIAN MICKELSEN PKWY
COTTONWOOD, AZ 863263610
9286398132
COUNTY OF YAVAPAI
3212 N WINDSONG DR
PRESCOTT VALLEY, AZ 863142255
9525831000
COUNTY OF YAVAPAI
3212 N WINDSONG DR, SUITE 200
PRESCOTT VALLEY, AZ 863142255
Source: CMS National Downloadable File, September 2026.