Graduated: 2014
NPI: 1225414253
Practice Locations (2)
DENVER HEALTH AND HOSPITAL AUTHORITY
777 BANNOCK ST
DENVER, CO 802044507
3034366000
DENVER HEALTH AND HOSPITAL AUTHORITY
777 BANNOCK ST, MAIL CODE 1923
DENVER, CO 802044507
Source: CMS National Downloadable File, September 2026.