Graduated: 2024
NPI: 1881445096
Practice Locations (2)
NORTHEASTERN ANESTHESIA PLLC
4951 S WHITE MOUNTAIN RD, SUITE B
SHOW LOW, AZ 859017801
9285374375
MAIN STREET ANESTHESIA OF NEW MEXICO, LLC
117 E 19TH ST, LOVELACE REGIONAL HOSPITAL ROSWELL
ROSWELL, NM 882015151
5756277000
Source: CMS National Downloadable File, September 2026.