Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 2020
NPI: 1972132041
Practice Locations (2)
SAN CARLOS APACHE HEALTHCARE CORPORATION
103 MEDICINE WAY RD
PERIDOT, AZ 855420787
9284751400
DISTRICT MEDICAL GROUP INC
2601 E ROOSEVELT ST
PHOENIX, AZ 850084973
6023445011
Source: CMS National Downloadable File, September 2026.