Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1983
NPI: 1811916604
Practice Locations (2)
LOS ALAMOS PHYSICIAN PRACTICES LLC
3917 W RD, SUITE 125
LOS ALAMOS, NM 875442275
5056619533
LOS ALAMOS PHYSICIAN PRACTICES LLC
3917 W RD, SUITE 137
LOS ALAMOS, NM 875445307
5056619526
Source: CMS National Downloadable File, September 2026.