Graduated: 1987
NPI: 1104844133
Practice Locations (2)
DHHS IHS PHOENIX AREA
943 HUALAPAI WAY, PEACH SPRINGS HEALTH CENTER
PEACH SPRINGS, AZ 864340190
9287692900
DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
007 CHOOSGAI DR
TOHATCHI, NM 87325
5057338413
Source: CMS National Downloadable File, September 2026.