Medical school: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated: 2020
NPI: 1891323473
Practice Locations (2)
BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
6028392000
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX, AZ 850165319
6022631200
Source: CMS National Downloadable File, September 2026.