Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 2000
NPI: 1013022789
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
5555 E ARAPAHOE RD, KAISER PERMANENTE ARAPAHOE MEDICAL
CENTENNIAL, CO 801222312
3033384545
Source: CMS National Downloadable File, September 2026.