Graduated: 2021
NPI: 1750979126
Practice Locations (3)
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
HIGHWAY 191 AND HOSPITAL RD
CHINLE, AZ 865038000
92867470307030
CMC DEPARTMENT OF MEDICINE GROUP PA
800 COOPER ST, FL 4
CAMDEN, NJ 081021155
8563423040
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
2157073008
Source: CMS National Downloadable File, September 2026.