Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1989
NPI: 1295797413
Practice Locations (1)
CATHOLIC HEALTH INITIATIVES COLORADO
729 E SPAULDING AVE, PRPW PC PUEBLO WEST
PUEBLO WEST, CO 810073512
7195479119
Source: CMS National Downloadable File, September 2026.