Medical school: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated: 1984
Also: INTERNAL MEDICINE
NPI: 1629163613
Practice Locations (1)
BANNER - UNIVERSITY SUPER SPECIALISTS LLC
1441 N 12TH ST, FL 2
PHOENIX, AZ 850062837
8442424664
Source: CMS National Downloadable File, September 2026.