Graduated: 2015
NPI: 1689055865
Practice Locations (3)
21001 N TATUM BLVD, SUITE 1630 190
PHOENIX, AZ 850504242
2145 EL PASEO RD
LAS CRUCES, NM 880016008
5756359653
4930 ALAMO MINE TRL
LAS CRUCES, NM 880119302
Source: CMS National Downloadable File, September 2026.