Graduated: 1989
NPI: 1831100833
Practice Locations (6)
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
1400 S DOBSON RD, BANNER HEALTH CLINIC
MESA, AZ 852024707
4804123000
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
1520 S DOBSON RD, SUITE 206
MESA, AZ 852024753
4804128080
BHSM REHABILITATION LLC
2225 W SOUTHERN AVE
MESA, AZ 852024716
6238883502
BHSM REHABILITATION LLC
2225 W SOUTHERN AVE, SUITE A
MESA, AZ 852024716
6238883502
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
9165 W THUNDERBIRD RD, SUITE 200
PEORIA, AZ 853814847
6232851120
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
10401 W THUNDERBIRD BLVD
SUN CITY, AZ 853513004
6238324000
Source: CMS National Downloadable File, September 2026.