Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1995
NPI: 1346341120
Practice Locations (1)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
1970 E 3RD AVE, 1 SAN JUAN HEALTH PARTNERS FAMILY AND SPECI
DURANGO, CO 813015049
9704440260
Source: CMS National Downloadable File, September 2026.