Graduated: 2023
NPI: 1962191700
Practice Locations (2)
SAN CARLOS APACHE HEALTHCARE CORPORATION
103 MEDICINE WAY RD
PERIDOT, AZ 855420787
9284751400
PRESCOTT HEALTHCARE SOLUTIONS LLC
1300 S 20TH AVE
SAFFORD, AZ 855463301
9284283122
Source: CMS National Downloadable File, September 2026.