Graduated: 2022
NPI: 1578284196
Practice Locations (2)
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
8088 W WHITNEY DR
PEORIA, AZ 853456564
8338559973
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
33 W TAMARISK ST
PHOENIX, AZ 850412422
6023446400
Source: CMS National Downloadable File, September 2026.