Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1987
NPI: 1447430426
Practice Locations (2)
THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
CORNER OF ROUTE N12 AND N7, FDIHB INC.
FORT DEFIANCE, AZ 865040649
9287298082
THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
PO BOX, SUITE 649
FORT DEFIANCE, AZ 865040649
Source: CMS National Downloadable File, September 2026.