Graduated: 2013
NPI: 1861825671
Practice Locations (2)
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
1001 WILLOW CREEK RD, SUITE 1300
PRESCOTT, AZ 863011614
9287084554
LOS ALAMOS PHYSICIAN PRACTICES LLC
3917 W RD, SUITE 137
LOS ALAMOS, NM 875445307
5056619526
Source: CMS National Downloadable File, September 2026.