Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2007
NPI: 1013113356
Practice Locations (2)
THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
CORNER OF ROUTE N12 AND N7, FDIHB INC.
FORT DEFIANCE, AZ 865040649
9287298082
THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
PO BOX, SUITE 649
FORT DEFIANCE, AZ 865040649
Source: CMS National Downloadable File, September 2026.