Graduated: 1982
NPI: 1265691000
Practice Locations (2)
CENTURA VENTURES, LLC
4112 OUTLOOK BLVD
PUEBLO, CO 810081667
7195626200
CENTURA VENTURES, LLC
41 N HWY 67 C, COLORADO SPORTS AND SPINE CENTERS
WOODLAND PARK, CO 808635009
7196860553
Source: CMS National Downloadable File, September 2026.