Graduated: 1991
Offers telehealth
NPI: 1427019462
Practice Locations (2)
9201 MONTGOMERY BLVD NE, BLDG 1
Albuquerque, NM 871112468
9201 MONTGOMERY BLVD NE, BLDG 1
ALBUQUERQUE, NM 871112468
5052387197
Source: CMS National Downloadable File, September 2026.