Graduated: 1996
NPI: 1497922074
Practice Locations (2)
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
2000 BOISE AVE
LOVELAND, CO 805385006
9708204640
SAN JUAN REGIONAL MEDICAL CENTER, INC.
801 W MAPLE ST, SAN JUAN REGIONAL HOSPITALIST
FARMINGTON, NM 874015630
5056096463
Source: CMS National Downloadable File, September 2026.