Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 2012
NPI: 1003174384
Practice Locations (2)
SOUTHWEST CARE CENTER
649 HARKLE RD
SANTA FE, NM 875054765
5059559454
SOUTHWEST CARE CENTER
649 HARKLE RD, SUITE E
SANTA FE, NM 875054765
5059559454
Source: CMS National Downloadable File, September 2026.