Graduated: 2024
NPI: 1356077861
Practice Locations (2)
UPPER SAN JUAN HEALTH SERVICE DISTRICT
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 811478329
9707313700
CATHOLIC HEALTH INITIATIVES COLORADO
41 STATE HWY 67
WOODLAND PARK, CO 808635008
7197764780
Source: CMS National Downloadable File, September 2026.