Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
Also: HOSPITALIST
NPI: 1427153766
Practice Locations (2)
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
1801 16TH ST
GREELEY, CO 806315154
9708104593
PHYSICIAN GROUPS LC
1101 W LIBERTY ST
FARMINGTON, MO 636401921
5737566751
Source: CMS National Downloadable File, September 2026.