Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1981
NPI: 1649388422
Practice Locations (1)
EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC
NO 5 CALLE MEDICO, SUITE A
SANTA FE, NM 875054762
5055576300
Source: CMS National Downloadable File, September 2026.