Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2000
NPI: 1700895455
Practice Locations (1)
FLAGSTAFF SURGICAL ASSOCIATES PA
77 W FOREST AVE, SUITE 201
FLAGSTAFF, AZ 860011483
9287732222
Source: CMS National Downloadable File, September 2026.