Graduated: 2010
NPI: 1083853972
Practice Locations (2)
DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
516 E NIZHONI BLVD
GALLUP, NM 873015748
5057221000
PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY
200 PROSSER HEALTH DR
PROSSER, WA 993507832
5097886022
Source: CMS National Downloadable File, September 2026.