Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2006
NPI: 1780724419
Practice Locations (1)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
801 W MAPLE ST, SJRMC ER PHYSICIANS
FARMINGTON, NM 874015630
5056092000
Source: CMS National Downloadable File, September 2026.