Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1997
NPI: 1386672491
Practice Locations (1)
THE PAGOSA MEDICAL GROUP LLC
27 B TALISMAN DR, UNIT 3
PAGOSA SPRINGS, CO 811477914
9703720456
Source: CMS National Downloadable File, September 2026.