Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 2004
NPI: 1720156136
Practice Locations (1)
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
810 AINSWORTH DR, SUITE A
PRESCOTT, AZ 863011612
9287715548
Source: CMS National Downloadable File, September 2026.