Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1980
Offers telehealth
NPI: 1417925926
Practice Locations (2)
215 N 5TH ST
Canon City, CO 812123216
215 N 5TH ST
CANON CITY, CO 812123216
7192754137
Source: CMS National Downloadable File, September 2026.