Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2016
NPI: 1316485246
Practice Locations (1)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
656 W MAPLE ST, SJHP FAMILY MEDICINE FARMINGTON
FARMINGTON, NM 874015968
5056092258
Source: CMS National Downloadable File, September 2026.