Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 1988
NPI: 1346397981
Practice Locations (1)
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
2175 STATE RD, SUITE 4
PINON, AZ 865102147
9287259000
Source: CMS National Downloadable File, September 2026.