Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 1974
NPI: 1639341787
Practice Locations (1)
DHHS PHS NAIHS CROWNPOINT HOSPITAL
JUNCTION OF HWY 371 NAVAJO RT 9
CROWNPOINT, NM 873130358
5057865291
Source: CMS National Downloadable File, September 2026.