Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1984
NPI: 1003872193
Practice Locations (2)
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
HIGHWAY 191 AND HOSPITAL RD
CHINLE, AZ 865038000
92867470307030
2450 W HORIZON RIDGE PKWY, SUITE 100
HENDERSON, NV 890522721
7027352305
Source: CMS National Downloadable File, September 2026.