Graduated: 1983
Also: FAMILY PRACTICE
NPI: 1952462079
Practice Locations (2)
3620 WYOMING BLVD N E, SUITE 128
ALBUQUERQUE, NM 871113288
3620 WYOMING BLVD NE, SUITE 128
ALBUQUERQUE, NM 871113288
5052968968
Source: CMS National Downloadable File, September 2026.