Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2014
NPI: 1144632274
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
200 EMEMPLA CIRCLE, KP INTERMOUNTAIN HEALTH GOOD SAMARITAN HOSP
LAFAYETTE, CO 800263370
3033384545
Source: CMS National Downloadable File, September 2026.