Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1983
Offers telehealth
NPI: 1922117019
Practice Locations (1)
MANZANO MEDICAL GROUP, P.C.
505 ELM ST NE, MANZANO MEDICAL GROUP PC
ALBUQUERQUE, NM 871022500
5057274919
Source: CMS National Downloadable File, September 2026.