Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1912920968
Practice Locations (5)
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
1400 S DOBSON RD, BANNER HEALTH CLINIC
MESA, AZ 852024707
4804123000
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
6424 E BROADWAY RD, SUITE 105
MESA, AZ 852061750
4806846487
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
6750 E BAYWOOD AVE
MESA, AZ 852061749
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
9165 W THUNDERBIRD RD, SUITE 200
PEORIA, AZ 853814847
6232851120
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
10401 W THUNDERBIRD BLVD
SUN CITY, AZ 853513004
6238324000
Source: CMS National Downloadable File, September 2026.