Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1528092475
Practice Locations (2)
THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
CORNER OF ROUTE N12 AND N7, FDIHB INC.
FORT DEFIANCE, AZ 865040649
9287298082
15 N 100
TOOELE, UT 840742101
4358826618
Source: CMS National Downloadable File, September 2026.