Graduated: 2022
NPI: 1740674894
Practice Locations (2)
MAIN STREET ANESTHESIA OF NEW MEXICO, LLC
601 DR MARTIN LUTHER KING JR AVE NE, LOVELACE MEDICAL CENTER
ALBUQUERQUE, NM 871023619
5057278000
SAN JUAN REGIONAL MEDICAL CENTER, INC.
801 W MAPLE ST, SAN JUAN REGIONAL HOSPITALIST
FARMINGTON, NM 874015630
5056096463
Source: CMS National Downloadable File, September 2026.