Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1976
NPI: 1952319907
Practice Locations (4)
1700 CERRILLOS RD
SANTA FE, NM 875053026
1700 CERRILLOS RD, MEDICAL STAFF OFFICE
SANTA FE, NM 875053554
546 HARKLE RD, SUITE B
SANTA FE, NM 875054784
5059845755
PO BOX, SUITE 5683
SANTA FE, NM 875025683
Source: CMS National Downloadable File, September 2026.