Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2005
NPI: 1982616470
Practice Locations (2)
SOUTHERN UTE INDIAN TRIBE
PO BOX
IGNACIO, CO 81137
SOUTHERN UTE INDIAN TRIBE
PO BOX, SUITE 899
IGNACIO, CO 81137
Source: CMS National Downloadable File, September 2026.