Medical school: ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated: 2012
NPI: 1548523947
Practice Locations (1)
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
19021 US HWY 285
LA JARA, CO 811409410
7192745121
Source: CMS National Downloadable File, September 2026.