Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2021
NPI: 1851970297
Practice Locations (1)
BANNER - UNIVERSITY PRIMARY CARE PHYSICIANS LLC
1300 N 12TH ST, SUITE 508
PHOENIX, AZ 850062849
6028393927
Source: CMS National Downloadable File, September 2026.