Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1255309142
Practice Locations (3)
205 W BOUTZ RD, BLDG 1
LAS CRUCES, NM 880053259
PO BOX, SUITE 680060
FRANKLIN, TN 370680060
150 W CIVIC DR, SUITE 200
SANDY, UT 840704284
Source: CMS National Downloadable File, September 2026.