Medical school: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated: 1993
NPI: 1164425898
Practice Locations (2)
2121 E HARMONY RD, UNIT 270
FORT COLLINS, CO 805283402
9702211993
2003 BLUEGRASS CIR
CHEYENNE, WY 820097329
3074323924
Source: CMS National Downloadable File, September 2026.