Medical school: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated: 2007
NPI: 1336330158
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.