Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 2019
NPI: 1982167425
Practice Locations (1)
SPINE AND ORTHOPEDIC CENTER OF NEW MEXICO PC
400 N PENNSYLVANIA AVE, SUITE 101
ROSWELL, NM 882014754
5756239101
Source: CMS National Downloadable File, September 2026.