Graduated: 2017
NPI: 1326693888
Practice Locations (2)
UPPER SAN JUAN HEALTH SERVICE DISTRICT
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 811478329
9707313700
UNM MEDICAL GROUP INC
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 871062719
5052722111
Source: CMS National Downloadable File, September 2026.