Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 1986
Also: PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1811961113
Practice Locations (2)
15810 S 45TH ST
PHOENIX, AZ 850487655
4807593001
15810 S 45TH ST, SUITE 140
PHOENIX, AZ 850487655
Source: CMS National Downloadable File, September 2026.