Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2006
NPI: 1639335060
Practice Locations (2)
NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.
STATE HWY 264 JCT HWY 191
GANADO, AZ 865050457
92875545004933
DHHS IHS PHOENIX AREA
264 HWY
POLACCA, AZ 86042
9287376000
Source: CMS National Downloadable File, September 2026.