Graduated: 1968
NPI: 1114947090
Practice Locations (3)
2717 N 4TH ST, SUITE 100
FLAGSTAFF, AZ 860041813
9287741463
163 W HOPI DR
HOLBROOK, AZ 860252945
9285242801
322 HWY 160, SUITE 10
TUBA CITY, AZ 860451550
9282835282
Source: CMS National Downloadable File, September 2026.