Graduated: 2023
NPI: 1841979135
Practice Locations (2)
BHSM REHABILITATION LLC
2225 W SOUTHERN AVE, SUITE A
MESA, AZ 852024716
6238883502
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
37100 N GANTZEL RD, SUITE 201
SAN TAN VALLEY, AZ 851407352
4803944469
Source: CMS National Downloadable File, September 2026.