Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2019
NPI: 1659846988
Practice Locations (2)
NEXTCARE ARIZONA I JV LLC
20950 N TATUM BLVD, SUITE 190
PHOENIX, AZ 850504251
4807760021
NEXTCARE ARIZONA I JV LLC
914 N SCOTTSDALE RD, SUITE 104
TEMPE, AZ 852882116
4809248382
Source: CMS National Downloadable File, September 2026.