Graduated: 2015
NPI: 1750751095
Practice Locations (2)
SAN CARLOS APACHE HEALTHCARE CORPORATION
103 MEDICINE WAY RD
PERIDOT, AZ 855420787
9284751400
GILA VALLEY CLINIC PC
1680 S 20TH AVE
SAFFORD, AZ 855464011
9284281377
Source: CMS National Downloadable File, September 2026.