Graduated: 1988
NPI: 1225020894
Practice Locations (2)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
1970 E 3RD AVE, 1 SAN JUAN HEALTH PARTNERS FAMILY AND SPECI
DURANGO, CO 813015049
9704440260
SAN JUAN REGIONAL MEDICAL CENTER, INC.
407 S SCHWARTZ AVE, 101 SJR BRAIN AND SPINE
FARMINGTON, NM 874015925
5056096595
Source: CMS National Downloadable File, September 2026.