Medical school: SOUTHWEST SCHOOL OF MEDICINE AND HOSPITAL
Graduated: 1989
Also: EMERGENCY MEDICINE
NPI: 1316997638
Practice Locations (1)
UPPER SAN JUAN HEALTH SERVICE DISTRICT
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 811478329
9707313700
Source: CMS National Downloadable File, September 2026.