Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1457371742
Practice Locations (3)
21322 PLEASANT VALLEY RD
DELTA, CO 814168527
4321 2100 RD
DELTA, CO 814168263
PO BOX, SUITE 1328
DURANGO, CO 81302
Source: CMS National Downloadable File, September 2026.