Medical school: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated: 1983
NPI: 1285746743
Practice Locations (1)
PUEBLO ANESTHESIA AND PAIN SERVICES
3917 W RD, PUEBLO ANESTHESIA AND PAIN MANAGEMENT
LOS ALAMOS, NM 875442275
5056624201
Source: CMS National Downloadable File, September 2026.