Graduated: 2008
NPI: 1134371917
Practice Locations (2)
NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.
STATE HWY 264 JCT HWY 191
GANADO, AZ 865050457
92875545004933
CONFEDERATED TRIBES OF SILETZ
200 GWEE SHUT RD
SILETZ, OR 973802036
5414441030
Source: CMS National Downloadable File, September 2026.