Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1985
NPI: 1063660819
Practice Locations (3)
46 CAMINO BACA CRANDE, SUITE 102
CRESTONE, CO 81131
7192566600
PO BOX, SUITE 749
CRESTONE, CO 81131
130 W 2ND ST, SUITE 7 DN
SALIDA, CO 812012045
7192566600
Source: CMS National Downloadable File, September 2026.