Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2022
NPI: 1629719422
Practice Locations (1)
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
1101 N CENTRAL AVE, SUITE 204
PHOENIX, AZ 850041844
6023446550
Source: CMS National Downloadable File, September 2026.