Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1720039357
Practice Locations (4)
CIBOLA GENERAL HOSPITAL CORPORATION
1016 E ROOSEVELT AVE
GRANTS, NM 870202118
CIBOLA GENERAL HOSPITAL CORPORATION
1423 E ROOSEVELT AVE
GRANTS, NM 870202118
5052876500
CIBOLA GENERAL HOSPITAL CORPORATION
1423 E ROOSEVELT AVE, CIBOLA GENERAL HOSPITAL
GRANTS, NM 870202118
5052876500
OBHG TEXAS HOLDINGS PA
3011 W LOOP 1604
SAN ANTIONIO, TX 782513901
8009672289
Source: CMS National Downloadable File, September 2026.