Medical school: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated: 1973
NPI: 1982640645
Practice Locations (2)
NEXTCARE ARIZONA I JV LLC
2062 WILLOW CREEK RD
PRESCOTT, AZ 863015389
9284435103
NEXTCARE ARIZONA I JV LLC
3051 N WINDSONG DR
PRESCOTT VALLEY, AZ 863142248
9287723336
Source: CMS National Downloadable File, September 2026.