Graduated: 2015
NPI: 1871979195
Practice Locations (2)
MODERN SPORTS MEDICINE LLC
10450 E RIGGS RD, SUITE 104
SUN LAKES, AZ 852487759
6128885224
MODERN SPORTS MEDICINE LLC
12515 W BELL RD, SUITE 103
SURPRISE, AZ 853789702
4803066627
Source: CMS National Downloadable File, September 2026.