Graduated: 1990
NPI: 1881896314
Practice Locations (2)
OTERO COUNTY HOSPITAL ASSOCIATION
2669 SCENIC DR
ALAMOGORDO, NM 883108700
5054396100
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
5320 S RAINBOW BLVD, SUITE 182
LAS VEGAS, NV 891181896
7023045827
Source: CMS National Downloadable File, September 2026.