Graduated: 2000
NPI: 1194965384
Practice Locations (2)
OPTUMCARE COLORADO MEDICAL GROUP LLC
700 W US HWY 24
WOODLAND PARK, CO 808638975
7196876022
LEGACY HEALTHCARE SERVICES INC
5701 VIRGINIA PKWY
MCKINNEY, TX 750715652
2145920212
Source: CMS National Downloadable File, September 2026.