Graduated: 1993
NPI: 1578689196
Practice Locations (2)
INTERMOUNTAIN MEDICAL GROUP DENVER LLC
15389 W 91ST DR
ARVADA, CO 800071400
INTERMOUNTAIN MEDICAL GROUP DENVER LLC
8350 COLORADO BLVD, UNIT 160
FIRESTONE, CO 805046803
3036731370
Source: CMS National Downloadable File, September 2026.