Graduated: 2000
NPI: 1629227616
Practice Locations (2)
KINGMAN HEALTHCARE INC
3801 SANTA ROSA DR
KINGMAN, AZ 864012311
9286818570
YUMA REGIONAL MEDICAL CENTER
2400 S AVE A
YUMA, AZ 853647127
9283442000
Source: CMS National Downloadable File, September 2026.