Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1942310297
Practice Locations (1)
SJHMC PHYSICIAN SERVICES
500 W THOMAS RD, 400 DHMG ST. JOSEPH'S SURGICAL SPECIALTY
PHOENIX, AZ 850134238
6024063874
Source: CMS National Downloadable File, September 2026.