Graduated: 2001
NPI: 1841482429
Practice Locations (2)
BANNER - UNIVERSITY SUPER SPECIALISTS LLC
1441 N 12TH ST, FL 2
PHOENIX, AZ 850062837
8442424664
BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
1441 N 12TH ST, FL 2
PHOENIX, AZ 850062837
8442424664
Source: CMS National Downloadable File, September 2026.