Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1978
Offers telehealth
NPI: 1003973397
Practice Locations (2)
105 MILLS AVE
LAS VEGAS, NM 877014169
105 MILLS AVE, SUITE 300
LAS VEGAS, NM 877014169
5054259311
Source: CMS National Downloadable File, September 2026.