Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 1993
Also: GENERAL PRACTICE
NPI: 1679634562
Practice Locations (2)
1300 COUNTRY CLUB RD, SUITE D
SANTA TERESA, NM 880089449
1300 COUNTRY CLUB RD D
SANTA TERESA, NM 880089449
5055894000
Source: CMS National Downloadable File, September 2026.