Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1997
NPI: 1639209471
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
2345 BENT WAY, KAISER PERMANENTE LONGMONT MED
LONGMONT, CO 805037614
3033384545
Source: CMS National Downloadable File, September 2026.