Graduated: 2021
NPI: 1780258657
Practice Locations (2)
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX, AZ 850165319
6022631200
ARIZONA EM-I MEDICAL SERVICES PC
2400 S AVE A
YUMA, AZ 853647127
9549395000
Source: CMS National Downloadable File, September 2026.