Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 1980
NPI: 1750541009
Practice Locations (1)
TUBA CITY REGIONAL HEALTH CARE CORPORATION
167 N MAIN ST, TUBA CITY INDIAN MEDICAL CENTER
TUBA CITY, AZ 860450600
9282832094
Source: CMS National Downloadable File, September 2026.