Graduated: 2017
NPI: 1841721545
Practice Locations (3)
BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
6028392000
MEDSTAR MEDICAL GROUP II LLC
110 IRVING ST NW
WASHINGTON, DC 200103017
2028777000
MEDSTAR MEDICAL GROUP II LLC
163 THOMAS JOHNSON DR
FREDERICK, MD 217024673
2028777685
Source: CMS National Downloadable File, September 2026.