Medical school: UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated: 1995
NPI: 1033176722
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
4803 WARD RD, KAISER PERMANENTE WHEAT RIDGE MED
WHEAT RIDGE, CO 800331902
3033384545
Source: CMS National Downloadable File, September 2026.