| Provider Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Provider Classification: | Nurse Practitioner |
| Definition of Specialization: | |
| Address: |
201 Cedar St Se Suite 6600 Albuquerque, NM 87106 |
| Phone: | (505) 724-4300 |
| Fax: | (505) 724-4384 |
| Gender: | Male |
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