Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1740221571
Practice Locations (3)
DHHS IHS PHOENIX AREA
N CROMWELL RD, CIBECUE HEALTH CTR
CEBECUE, AZ 859110037
92833849113532
DHHS IHS PHOENIX AREA
200 W HOSPITAL DR
WHITERIVER, AZ 859410860
92833849113532
DHHS IHS PHOENIX AREA
PO BOX, SUITE 860
WHITERIVER, AZ 859410860
Source: CMS National Downloadable File, September 2026.