Graduated: 2015
NPI: 1891751772
Practice Locations (2)
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX, AZ 850165319
6022631200
SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY
10901 E MCDOWELL RD
SCOTTSDALE, AZ 852565300
6024665951
Source: CMS National Downloadable File, September 2026.