Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1992
Offers telehealth
NPI: 1841395399
Practice Locations (1)
1000 WILLOW CREEK RD, SUITE E
PRESCOTT, AZ 863011645
9285837887
Source: CMS National Downloadable File, September 2026.