Graduated: 1982
NPI: 1467426940
Practice Locations (2)
BRYAN HOSPITAL KEARNEY
816 22ND AVE, SUITE 100
KEARNEY, NE 688452226
3088652263
SAN JUAN REGIONAL MEDICAL CENTER, INC.
630 W MAPLE ST, SJHP GASTROENTEROLOGY
FARMINGTON, NM 874016113
5056096349
Source: CMS National Downloadable File, September 2026.