Graduated: 2000
NPI: 1962476739
Practice Locations (2)
ANIMAS SURGICAL HOSPITAL LLC
575 RIVERGATE LN
DURANGO, CO 813017487
9702473537
FOUR CORNERS ANESTHESIA, P.A.
1515 E 20TH ST, SUITE A
FARMINGTON, NM 874019039
5053266400
Source: CMS National Downloadable File, September 2026.