Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1989
NPI: 1821090879
Practice Locations (2)
1100 E MONROE ST, SUITE 102
GLOBE, AZ 855011304
9284257133
PO BOX, SUITE 1040
GLOBE, AZ 85502
Source: CMS National Downloadable File, September 2026.