Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1983
NPI: 1942238704
Practice Locations (3)
PO BOX, SUITE 10880
PRESCOTT, AZ 86304
3401 S WHITE MOUNTAIN BLVD, SUITE E
SHOW LOW, AZ 859017607
PO BOX, SUITE 4164
Belfast, ME 049154100
Source: CMS National Downloadable File, September 2026.