Graduated: 2016
NPI: 1881030781
Practice Locations (2)
BANNER - UNIVERSITY SUPER SPECIALISTS LLC
1441 N 12TH ST, FL 2
PHOENIX, AZ 850062837
8442424664
VIRGINIA MASON MEDICAL CENTER
1100 9TH AVE
SEATTLE, WA 981012756
2062236600
Source: CMS National Downloadable File, September 2026.