Graduated: 2009
NPI: 1255562005
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.
801 W MAPLE ST, SAN JUAN REGIONAL HOSPITALIST
FARMINGTON, NM 874015630
5056096463
Source: CMS National Downloadable File, September 2026.