Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1063408359
Practice Locations (2)
PUEBLO COMMUNITY HEALTH CENTER INC.
1008 N GRAND AVE
PUEBLO, CO 810032916
7195438718385
PUEBLO COMMUNITY HEALTH CENTER INC.
300 COLORADO AVE
PUEBLO, CO 810042006
7195438711
Source: CMS National Downloadable File, September 2026.