Graduated: 2002
Also: PULMONARY DISEASE
NPI: 1396940813
Practice Locations (2)
KINGMAN HEALTHCARE INC
1739 E BEVERLY AVE, SUITE 203
KINGMAN, AZ 864093593
9286818520
SAN JUAN REGIONAL MEDICAL CENTER, INC.
407 S SCHWARTZ AVE, 202 SJRMC HEART CENTER
FARMINGTON, NM 874015925
5056096770
Source: CMS National Downloadable File, September 2026.