Graduated: 1985
NPI: 1033121652
Practice Locations (2)
PECOS VALLEY OF NEW MEXICO LLC
2420 W PIERCE ST
CARLSBAD, NM 882203518
LOS ALAMOS PHYSICIAN PRACTICES LLC
3917 W RD, SUITE 130
LOS ALAMOS, NM 875445306
5056619201
Source: CMS National Downloadable File, September 2026.