Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1114113263
Practice Locations (2)
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
HIGHWAY 191 AND HOSPITAL RD
CHINLE, AZ 865038000
92867470307030
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
PO BOX PH
CHINLE, AZ 865038000
Source: CMS National Downloadable File, September 2026.