Graduated: 1991
NPI: 1396946448
Practice Locations (2)
IES OBS COLORADO PLLC
1375 E 19TH AVE
DENVER, CO 802181114
3038122000
DENVER HEALTH AND HOSPITAL AUTHORITY
777 BANNOCK ST
DENVER, CO 802044507
3034366000
Source: CMS National Downloadable File, September 2026.