Medical school: KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduated: 2007
NPI: 1912161456
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.