Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2022
NPI: 1992433429
Practice Locations (1)
MODERN SPORTS MEDICINE LLC
6242 E ARBOR AVE, SUITE 101
MESA, AZ 852061309
4803066627
Source: CMS National Downloadable File, September 2026.