Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 1996
Also: FAMILY PRACTICE
NPI: 1215005335
Practice Locations (1)
U S HEALTH DEPT OF HEALTH AND HUMAN SERVICES
100 CHEYENNE AVE
LAME DEER, MT 590430000
4064774451
Source: CMS National Downloadable File, September 2026.