Medical school: AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduated: 2017
NPI: 1821508938
Practice Locations (1)
ARIZONA STATE UROLOGY LLC
6525 W SACK DR, SUITE 201
GLENDALE, AZ 853087106
6023378500
Source: CMS National Downloadable File, September 2026.