Graduated: 2016
NPI: 1932650181
Practice Locations (2)
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
1900 N HIGLEY RD
GILBERT, AZ 852341604
4804532034
BANNER-UNIVERSITY MEDICAL GROUP
1625 N CAMPBELL AVE
TUCSON, AZ 857194330
5206940111
Source: CMS National Downloadable File, September 2026.