Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 1975
NPI: 1770540601
Practice Locations (1)
NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC.
STATE HWY 264 JCT HWY 191
GANADO, AZ 865050457
92875545004933
Source: CMS National Downloadable File, September 2026.