Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 1998
NPI: 1639132087
Practice Locations (3)
18701 N 67TH AVE
GLENDALE, AZ 853087100
6235611000
5555 W THUNDERBIRD RD
GLENDALE, AZ 853064622
6028655555
14155 N 83RD AVE
PEORIA, AZ 853815640
6234867700
Source: CMS National Downloadable File, September 2026.