Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 1979
NPI: 1669536918
Practice Locations (4)
10110 S 7650, P.O. BOX 9
CROE AGENCY, MT 590220009
P O BOX, SUITE 130
SAN FIDEL, NM 870490130
PO BOX, SUITE 40
SAN FIDEL, NM 87049
PO BOX, SUITE 40
SAN FIDEL, NM 870490040
Source: CMS National Downloadable File, September 2026.