Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1174567689
Practice Locations (1)
INTERMOUNTAIN MEDICAL GROUP DENVER LLC
835 E 18TH AVE,, 110 MIDTOWN INPATIENT MEDICINE
DENVER, CO 802181024
3038254646
Source: CMS National Downloadable File, September 2026.