Graduated: 2021
NPI: 1417623414
Practice Locations (2)
SALIDA HOSPITAL DISTRICT
28374 COUNTY RD, SUITE 317
BUENA VISTA, CO 812119158
7193959048
SALIDA HOSPITAL DISTRICT
405 DENVER AVE, HRRMC SAGUACHE HEALTH CENTER
SAGUACHE, CO 81149
7195302000
Source: CMS National Downloadable File, September 2026.