Graduated: 2001
NPI: 1083885560
Practice Locations (2)
SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT
11 ELLIOTT BARKER LN
ANGEL FIRE, NM 877100133
5753773301
SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT
PO BOX, SUITE 625
CIMARRON, NM 877140625
Source: CMS National Downloadable File, September 2026.