Graduated: 2003
NPI: 1871718486
Practice Locations (2)
PRIVIA MEDICAL GROUP ARIZONA, LLC
111 W CEDAR LN, SUITE A
PAYSON, AZ 855415417
9284724675
SJHMC PHYSICIAN SERVICES
500 W THOMAS RD, SUITE 900B
PHOENIX, AZ 850134224
6024062323
Source: CMS National Downloadable File, September 2026.