Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2006
NPI: 1225221948
Practice Locations (2)
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
106 BLANCA AVE
ALAMOSA, CO 811012340
7195892511
INNOVA EMERGENCY MEDICAL ASSOCIATES PC
410 BENEDICTA AVE
TRINIDAD, CO 810822005
7198469213
Source: CMS National Downloadable File, September 2026.