Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1986
Also: INTERNAL MEDICINE
NPI: 1992745111
Practice Locations (4)
DHHS PHS NAIHS SHIPROCK HOSPITAL
HIGHWAY 491
SHIPROCK, NM 874200160
50536860016401
DHHS PHS NAIHS SHIPROCK HOSPITAL
P O BOX, 160 ATTN BUSINESS OFFICE
SHIPROCK, NM 874200160
DHHS PHS NAIHS SHIPROCK HOSPITAL
PO BOX, SUITE 160
SHIPROCK, NM 874200160
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014444000
Source: CMS National Downloadable File, September 2026.