Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 1999
NPI: 1417012014
Practice Locations (2)
SOUTHERN COLORADO UTE SERVICE UNIT
232 RUSTLING WILLOW ST, UTE MOUNTAIN UTE
TOWAOC, CO 813340049
9705654441
SOUTHERN COLORADO UTE SERVICE UNIT
232 RUSTLING WILLOW ST COMPLEX D
TOWAOC, CO 813340049
Source: CMS National Downloadable File, September 2026.