Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2014
NPI: 1629323340
Practice Locations (1)
KEWA PUEBLO HEALTH CORPORATION
85 W HWY 22
SANTO DOMINGO, NM 870520340
5054653060
Source: CMS National Downloadable File, September 2026.