Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2004
NPI: 1679630388
Practice Locations (1)
SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT
11 ELLIOTT BARKER LN
ANGEL FIRE, NM 877100133
5753773301
Source: CMS National Downloadable File, September 2026.