Graduated: 2000
NPI: 1770634909
Practice Locations (2)
ARIZONA DESERT DERMATOLOGY AND SURGERY PC
2091 N SMOKETREE AVE, SUITE 103
LAKE HAVASU CITY, AZ 864035896
9284533332
SPRINGVILLE DERMATOLOGY AND DIAGNOSTICS PC
732 N MAIN ST
SPRINGVILLE, UT 846631034
8017047001
Source: CMS National Downloadable File, September 2026.