Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 2009
NPI: 1841428075
Practice Locations (2)
SOUTHERN UTE INDIAN TRIBE
PO BOX
IGNACIO, CO 81137
SOUTHERN UTE INDIAN TRIBE
PO BOX, SUITE 899
IGNACIO, CO 81137
Source: CMS National Downloadable File, September 2026.