Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1998
NPI: 1699975342
Practice Locations (1)
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
1001 WILLOW CREEK RD, SUITE 3200
PRESCOTT, AZ 863011614
9287715595
Source: CMS National Downloadable File, September 2026.