Graduated: 2001
NPI: 1669189288
Practice Locations (2)
DHHS IHS PHOENIX AREA
12033 AGENCY RD
PARKER, AZ 853447718
9286692137
DHHS IHS PHOENIX AREA
943 HUALAPAI WAY, PEACH SPRINGS HEALTH CENTER
PEACH SPRINGS, AZ 864340190
9287692900
Source: CMS National Downloadable File, September 2026.