Graduated: 1992
NPI: 1912911280
Practice Locations (2)
5555 W THUNDERBIRD RD
GLENDALE, AZ 853064622
4804252160
BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
6028392000
Source: CMS National Downloadable File, September 2026.