Graduated: 1996
NPI: 1649299298
Practice Locations (2)
401 S CALVARY WAY, SUITE D
COTTONWOOD, AZ 863264165
9286492600
ATLANTIS MEDICAL GROUP AZ PLLC
11047 N 19TH AVE
PHOENIX, AZ 850294816
6025890500
Source: CMS National Downloadable File, September 2026.