Medical school: KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated: 2005
NPI: 1932366382
Practice Locations (1)
DHHS PHS NAIHS CROWNPOINT HOSPITAL
JUNCTION OF HWY 371 NAVAJO RT 9
CROWNPOINT, NM 873130358
5057865291
Source: CMS National Downloadable File, September 2026.