Graduated: 2022
NPI: 1225764475
Practice Locations (2)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
4820 E MAIN ST
FARMINGTON, NM 874028660
SAN JUAN REGIONAL MEDICAL CENTER, INC.
656 W MAPLE ST, SJHP FAMILY MEDICINE FARMINGTON
FARMINGTON, NM 874015968
5056092258
Source: CMS National Downloadable File, September 2026.