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Doctors / CO
PHYSICIAN ASSISTANT
Graduated: 1996
NPI: 1780795500
SAN JUAN REGIONAL MEDICAL CENTER, INC.
1970 E 3RD AVE, 1 SAN JUAN HEALTH PARTNERS FAMILY AND SPECI
DURANGO, CO 813015049
9704440260
Source: CMS National Downloadable File, September 2026.