Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1973
Offers telehealth
NPI: 1992039093
Practice Locations (1)
PHOENICIAN MEDICAL CENTER INC
16515 S 40TH ST, SUITE 139
PHOENIX, AZ 850480560
4809631853
Source: CMS National Downloadable File, September 2026.