Graduated: 1999
NPI: 1679646350
Practice Locations (2)
PRIVIA MEDICAL GROUP ARIZONA, LLC
5601 W EUGIE AVE, SUITE 203
GLENDALE, AZ 853041258
6026333833
PRIVIA MEDICAL GROUP ARIZONA, LLC
14415 W MCDOWELL RD, SUITE D102
GOODYEAR, AZ 853952521
6235124190
Source: CMS National Downloadable File, September 2026.