Graduated: 1971
NPI: 1851398069
Practice Locations (2)
BHSM REHABILITATION LLC
2225 W SOUTHERN AVE, SUITE A
MESA, AZ 852024716
6238883502
PREMIER MEDICAL GROUP LLC
5030 S MILL AVE, SUITE D12
TEMPE, AZ 852826849
4808942823
Source: CMS National Downloadable File, September 2026.