Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2004
NPI: 1215187919
Practice Locations (3)
IES COLORADO PLLC
1375 E 19TH AVE
DENVER, CO 802181114
3038122000
IES OBS COLORADO PLLC
1375 E 19TH AVE
DENVER, CO 802181114
3038122000
COLORADO PERMANENTE MEDICAL GROUP PC
1375 E 19TH AVE, KP INTERMOUNTAIN HEALTH ST. JOSEPH HOSPITAL
DENVER, CO 802181114
3033384545
Source: CMS National Downloadable File, September 2026.