Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2008
NPI: 1194981696
Practice Locations (1)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
555 S SCHWARTZ AVE, BEHAVIORAL HEALTH SERVICES
FARMINGTON, NM 874015955
5056096680
Source: CMS National Downloadable File, September 2026.