Graduated: 2013
NPI: 1962829986
Practice Locations (2)
DISTRICT MEDICAL GROUP INC
2601 E ROOSEVELT ST
PHOENIX, AZ 850084973
6023445011
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
14502 W MEEKER BLVD
SUN CITY, AZ 853755282
6235244000
Source: CMS National Downloadable File, September 2026.