Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated: 2014
NPI: 1780003442
Practice Locations (1)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
4820 E MAIN ST, 2 SJRMC URGENT CARE
FARMINGTON, NM 874028660
5056096495
Source: CMS National Downloadable File, September 2026.