Graduated: 1990
NPI: 1356395800
Practice Locations (2)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
407 S SCHWARTZ AVE, 202 SJRMC HEART CENTER
FARMINGTON, NM 874015925
5056096770
SKY LAKES MEDICAL CENTER INC
2865 DAGGETT AVE
KLAMATH FALLS, OR 976011106
5412746221
Source: CMS National Downloadable File, September 2026.