Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 2017
NPI: 1528598000
Practice Locations (2)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
1970 E 3RD AVE, 1 SAN JUAN HEALTH PARTNERS FAMILY AND SPECI
DURANGO, CO 813015049
9704440260
SAN JUAN REGIONAL MEDICAL CENTER, INC.
2700 FARMINGTON AVE BLDG, E1 SJRMC UROLOGY
FARMINGTON, NM 874014550
5056096830
Source: CMS National Downloadable File, September 2026.