Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2003
NPI: 1508962036
Practice Locations (2)
COLORADO PERMANENTE MEDICAL GROUP PC
10350 E DAKOTA AVE, KAISER PERMANENTE REGIONAL OFFICE
DENVER, CO 802471314
3033384545
IES COLORADO PLLC
1375 E 19TH AVE
DENVER, CO 802181114
3038122000
Source: CMS National Downloadable File, September 2026.