Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1989
Also: SPORTS MEDICINE
NPI: 1235102096
Practice Locations (1)
SOUTHERN COLORADO CLINIC PC
3676 PARKER BLVD, SUITE 290
PUEBLO, CO 810082214
7195532200
Source: CMS National Downloadable File, September 2026.