Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 1988
Offers telehealth
NPI: 1942262399
Practice Locations (3)
303 N CENTENNIAL WAY
Mesa, AZ 852016733
303 N CENTENNIAL WAY
MESA, AZ 852016733
303 N CENTENNIAL WAY, SUITE 200
MESA, AZ 852016711
Source: CMS National Downloadable File, September 2026.