Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2009
NPI: 1710297304
Practice Locations (4)
7471 PAN AMERICAN FRWY NE
ALBUQUERQUE, NM 87109
7471 PAN AMERICAN FWY
ALBUQUERQUE, NM 87109
353 FAIRMONT BLVD
RAPID CITY, SD 577017375
353 FAIRMONT BLVD
RAPID CITY, SD 577017393
Source: CMS National Downloadable File, September 2026.