Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1979
NPI: 1659364016
Practice Locations (2)
BHSM REHABILITATION LLC
2225 W SOUTHERN AVE, SUITE A
MESA, AZ 852024716
6238883502
6644 E BAYWOOD AVE
MESA, AZ 852061797
4803214901
Source: CMS National Downloadable File, September 2026.