Graduated: 2013
NPI: 1902293327
Practice Locations (2)
BHSM REHABILITATION LLC
2225 W SOUTHERN AVE, SUITE A
MESA, AZ 852024716
6238883502
BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
6028392000
Source: CMS National Downloadable File, September 2026.