Graduated: 2017
NPI: 1659891414
Practice Locations (2)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
801 W MAPLE ST
FARMINGTON, NM 874015630
BAY AREA HOSPITAL DISTRICT
1775 THOMPSON RD
COOS BAY, OR 974202125
5412698280
Source: CMS National Downloadable File, September 2026.