Graduated: 1991
NPI: 1801823372
Practice Locations (2)
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
1003 WILLOW CREEK RD
PRESCOTT, AZ 863011641
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
3120 CLEARWATER DR
PRESCOTT, AZ 863057131
9287713704
Source: CMS National Downloadable File, September 2026.