Graduated: 2020
NPI: 1437787801
Practice Locations (2)
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
106 BLANCA AVE
ALAMOSA, CO 811012340
7135893000
THE DULUTH CLINIC LTD
1101 9TH ST N
VIRGINIA, MN 557922329
2187410150
Source: CMS National Downloadable File, September 2026.