Graduated: 2003
NPI: 1487640736
Practice Locations (3)
SAN CARLOS APACHE HEALTHCARE CORPORATION
103 MEDICINE WAY RD
PERIDOT, AZ 855420787
9284751400
SAN CARLOS APACHE HEALTHCARE CORPORATION
P O BOX, SUITE 787
PERIDOT, AZ 855420787
SAN CARLOS APACHE HEALTHCARE CORPORATION
PO BOX, SUITE 787
PERIDOT, AZ 855420787
Source: CMS National Downloadable File, September 2026.