Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1998
NPI: 1881698546
Practice Locations (1)
DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
007 CHOOSGAI DR
TOHATCHI, NM 87325
5057338413
Source: CMS National Downloadable File, September 2026.