Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1996
NPI: 1538102249
Practice Locations (1)
PUEBLO ANESTHESIA AND PAIN SERVICES
3917 W RD, PUEBLO ANESTHESIA AND PAIN MANAGEMENT
LOS ALAMOS, NM 875442275
5056624201
Source: CMS National Downloadable File, September 2026.