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Doctors / NM
PEDIATRIC MEDICINE
Graduated: 1988
NPI: 1497940175
PO BOX
ALBUQUERQUE, NM 87125
4722 SUNDANCE RD
FARMINGTON, NM 874019317
PO BOX, SUITE 5074
SIOUX FALLS, SD 57117
Source: CMS National Downloadable File, September 2026.