Medical school: MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
Graduated: 2019
Offers telehealth
NPI: 1801359385
Practice Locations (2)
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
17900 N PORTER RD
MARICOPA, AZ 851384228
5202332500
BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
6028392000
Source: CMS National Downloadable File, September 2026.