Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2002
NPI: 1699955401
Practice Locations (2)
COMMUNITY CARE SERVICES LLC
SCOTTSDALE, AZ 85255
7759825000
COMMUNITY CARE SERVICES LLC
1155 MILL ST
RENO, NV 895021576
7759824000
Source: CMS National Downloadable File, September 2026.