Graduated: 2020
NPI: 1801483284
Practice Locations (4)
18444 N 25TH AVE, SUITE 320
PHOENIX, AZ 850231266
12 QUEEN ST
NEWTOWN, CT 064702158
1650 LYNDON FARM CT, SUITE 300
LOUISVILLE, KY 402235005
4714 GETTYSBURG RD
MECHANICSBURG, PA 170554325
Source: CMS National Downloadable File, September 2026.