Graduated: 1991
NPI: 1285847996
Practice Locations (2)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
4820 E MAIN ST
FARMINGTON, NM 874028660
SAN JUAN REGIONAL MEDICAL CENTER, INC.
801 W MAPLE ST
FARMINGTON, NM 874015630
Source: CMS National Downloadable File, September 2026.