Graduated: 2008
NPI: 1982834594
Practice Locations (2)
AKDHC LLC
2580 HWY 95, SUITE 224
BULLHEAD CITY, AZ 864427332
9287637722
BANNER - UNIVERSITY SUPER SPECIALISTS LLC
755 E MCDOWELL RD
PHOENIX, AZ 850062506
6025213086
Source: CMS National Downloadable File, September 2026.