Graduated: 2016
NPI: 1255725719
Practice Locations (2)
THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
CORNER OF ROUTE N12 AND N7, FDIHB INC.
FORT DEFIANCE, AZ 865040649
9287298082
NORTHEASTERN ANESTHESIA PLLC
807 S PONDEROSA ST
PAYSON, AZ 855415542
9284743222
Source: CMS National Downloadable File, September 2026.