Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 2003
NPI: 1356558563
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
10350 E DAKOTA AVE, KAISER PERMANENTE REGIONAL OFFICE
DENVER, CO 802471314
3033384545
Source: CMS National Downloadable File, September 2026.