Graduated: 2018
NPI: 1336645613
Practice Locations (2)
PRESBYTERIAN HEALTHCARE SERVICES
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 871064930
5058411234
SAN JUAN REGIONAL MEDICAL CENTER, INC.
801 W MAPLE ST, SJRMC ER PHYSICIANS
FARMINGTON, NM 874015630
5056092000
Source: CMS National Downloadable File, September 2026.