Medical school: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1801888763
Practice Locations (2)
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
2525 E ROOSEVELT ST
PHOENIX, AZ 850084948
6023441159
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX, AZ 850165319
6022631200
Source: CMS National Downloadable File, September 2026.