Graduated: 2014
NPI: 1669888525
Practice Locations (2)
DHHS IHS PHOENIX AREA
12033 AGENCY RD
PARKER, AZ 853447718
9286692137
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX, AZ 850165319
6022631200
Source: CMS National Downloadable File, September 2026.