Medical school: MID WEST MEDICAL COLLEGE
Graduated: 2009
NPI: 1821222456
Practice Locations (2)
2905 W WARNER RD, SUITE 10
CHANDLER, AZ 852241674
4803868400
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
HIGHWAY 191 AND HOSPITAL RD
CHINLE, AZ 865038000
92867470307030
Source: CMS National Downloadable File, September 2026.