Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1968
NPI: 1922018712
Practice Locations (2)
3212 CARLISLE BLVD NE
ALBUQUERQUE, NM 871101651
5057965059
3212 CARLISLE BLVD NE, AVI
ALBUQUERQUE, NM 871101651
5057965059
Source: CMS National Downloadable File, September 2026.