Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1976
NPI: 1700878964
Practice Locations (1)
GENESIS OB GYN PLLC
11209 N TATUM BLVD, SUITE 255
PHOENIX, AZ 850286025
6024945050
Source: CMS National Downloadable File, September 2026.