Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2011
NPI: 1689965428
Practice Locations (11)
THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
CORNER OF ROUTE N12 AND N7, FDIHB INC.
FORT DEFIANCE, AZ 865040649
9287298082
THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
PO BOX, SUITE 649
FORT DEFIANCE, AZ 865040649
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX, AZ 850165319
6022631200
UNIVERSITY OF LOUISVILLE PHYSICIANS INC
530 S JACKSON ST
LOUISVILLE, KY 402021675
5025623000
WILMINGTON HEALTH PLLC
1202 MEDICAL CTR DR
WILMINGTON, NC 284017307
9103411540
RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO A MEDICAL GROUP INC
69 GRANDVIEW AVE
UPPER SADDLE RIVER, NJ 074582134
8052963525
LAS CRUCES PHYSICIAN SERVICES LLC
69 GRANDVIEW AVE
UPPER SADDLE RIVER, NJ 074582134
2017368055
CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC
69 GRANDVIEW AVE
UPPER SADDLE RIVER, NJ 074582134
8056827744
LAS CRUCES PHYSICIAN SERVICES LLC
4311 E LOHMAN AVE
LAS CRUCES, NM 880118255
5755566625
UNIVERSAL RADIOLOGY PARTNERS OF NEVADA LLC
620 SHADOW LN
LAS VEGAS, NV 891064119
7023884000
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
622 W 168TH ST
NEW YORK, NY 100323720
2123059876
Source: CMS National Downloadable File, September 2026.