Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1995
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1598731994
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
1375 E 20TH AVE, KAISER PERMANENTE SKYLINE MEDICAL OFFICES
DENVER, CO 802055422
3033384545
Source: CMS National Downloadable File, September 2026.