Graduated: 1966
NPI: 1821039025
Practice Locations (2)
BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
807 S PONDEROSA ST
PAYSON, AZ 855415542
9284713222
BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
755 E MCDOWELL RD
PHOENIX, AZ 850062506
6025213086
Source: CMS National Downloadable File, September 2026.