Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1974
NPI: 1215025820
Practice Locations (1)
THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
CORNER OF ROUTE N12 AND N7, FDIHB INC.
FORT DEFIANCE, AZ 865040649
9287298082
Source: CMS National Downloadable File, September 2026.