Graduated: 2014
NPI: 1932503802
Practice Locations (2)
SAN MIGUEL CLINIC CORP
104 LEGION DR, SUITE 4
LAS VEGAS, NM 877014804
5054268010
SUMMIT HOSPITALIST GROUP LLC
214 E 23RD ST
CHEYENNE, WY 820013748
3073242221
Source: CMS National Downloadable File, September 2026.