Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1979
Also: OSTEOPATHIC MANIPULATIVE MEDICINE
Offers telehealth
NPI: 1942396023
Practice Locations (1)
PRIVIA MEDICAL GROUP ARIZONA, LLC
5601 W EUGIE AVE, SUITE 203
GLENDALE, AZ 853041258
6026333833
Source: CMS National Downloadable File, September 2026.