Graduated: 2016
NPI: 1124764667
Practice Locations (2)
ALTRU HEALTH SYSTEM
1200 S COLUMBIA RD
GRAND FORKS, ND 582014036
7017805000
DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
516 E NIZHONI BLVD
GALLUP, NM 873015748
5057221000
Source: CMS National Downloadable File, September 2026.