Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1386855708
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.