Graduated: 1983
Offers telehealth
NPI: 1992708788
Practice Locations (2)
BANNER - UNIVERSITY SUPER SPECIALISTS LLC
1441 N 12TH ST, FL 3
PHOENIX, AZ 850062837
8442424664
AKDHC LLC
2545 E THOMAS RD, SUITE 120
PHOENIX, AZ 850167969
6024193378
Source: CMS National Downloadable File, September 2026.