Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1205993458
Practice Locations (3)
UPPER SAN JUAN HEALTH SERVICE DISTRICT
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 811478329
9707313700
PUEBLO PATHOLOGY GROUP, PC
400 W 16TH ST
PUEBLO, CO 810032745
7195844426
HUERFANO COUNTY HOSPITAL DISTRICT
23500 US HWY 160
WALSENBURG, CO 810899524
7197385100
Source: CMS National Downloadable File, September 2026.