Graduated: 2021
NPI: 1629464144
Practice Locations (4)
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
7701 W ASPERA BLVD, STES 102 201 301
GLENDALE, AZ 853087935
6232482100
BHSM REHABILITATION LLC
25101 N LAKE PLEASANT PKWY, SUITE B 1340
PEORIA, AZ 853831386
6026106866
BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
1300 N 12TH ST, SUITE 508
PHOENIX, AZ 850062849
6028393927
BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
755 E MCDOWELL RD
PHOENIX, AZ 850062506
6025213086
Source: CMS National Downloadable File, September 2026.