Graduated: 2018
NPI: 1588136998
Practice Locations (2)
DESERT SENITA COMMUNITY HEALTH CENTER
410 N MALACATE ST
AJO, AZ 853212254
52038756513007
OAK STREET HEALTH PHYSICIANS GROUP OF ARIZONA PLLC
2850 E MAIN ST, SUITE 106
MESA, AZ 852139304
4806180019
Source: CMS National Downloadable File, September 2026.