Graduated: 1998
NPI: 1720004138
Practice Locations (3)
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
6644 E BAYWOOD AVE
MESA, AZ 852061747
4803212000
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
6750 E BAYWOOD AVE
MESA, AZ 852061749
4808545000
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
6028392000
Source: CMS National Downloadable File, September 2026.