Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2011
Offers telehealth
NPI: 1275823700
Practice Locations (1)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
801 W MAPLE ST, SJRMC ER PHYSICIANS
FARMINGTON, NM 874015630
5056092000
Source: CMS National Downloadable File, September 2026.