Medical school: LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated: 2025
NPI: 1902754054
Practice Locations (2)
2415 W SHIPROCK ST
APACHE JUNCTION, AZ 851202480
1225 N 36TH ST, UNIT 2077
PHOENIX, AZ 850085317
Source: CMS National Downloadable File, September 2026.