Graduated: 2025
NPI: 1730072901
Practice Locations (2)
NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.
STATE HWY 264 JCT HWY 191
GANADO, AZ 865050457
92875545004933
EMERGENCY PHYSICIANS INTEGRATED CARE LLC
3100 CHANNING WAY
IDAHO FALLS, ID 834047533
2085296111
Source: CMS National Downloadable File, September 2026.