Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1982
NPI: 1245246453
Practice Locations (2)
1335 PHAY AVE, SUITE D
CANON CITY, CO 812122349
7193453115
1335 PHAY AVEUE, SUITE D
CANON CITY, CO 812122349
Source: CMS National Downloadable File, September 2026.