New Mexico
Grant
Silver City
Family Medicine
canceled
C35930
male
1962
medical activities:
no activities identified
license issued on July 25, 1974;
Psychiatrist
Specialist for: Family Practice
University of Tennessee College of Medicine (graduated in 1962)
Graduated in year 1962, Medical School: University of Tn, Memphis, College of Medicine, Memphis, TN 38163
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Profile ID: FRUS-MDS-P-138382