Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2003
NPI: 1568532562
Practice Locations (1)
DHHS PHS NAIHS SHIPROCK HOSPITAL
6 RD, SUITE 7586
BLOOMFIELD, NM 874134934
5053686401
Source: CMS National Downloadable File, September 2026.