Medical school: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated: 1986
NPI: 1437225786
Practice Locations (2)
DHHS IHS PHOENIX AREA
1 MAIN ST
SUPAI, AZ 864355000
9287692900
DHHS IHS PHOENIX AREA
129 MAIN ST
SUPAI, AZ 864355100
9284482641
Source: CMS National Downloadable File, September 2026.