Graduated: 1985
NPI: 1689679144
Practice Locations (3)
INTERMOUNTAIN MEDICAL GROUP DENVER LLC
8350 COLORADO BLVD, UNIT 160
FIRESTONE, CO 805046803
3036731370
INTERMOUNTAIN MEDICAL GROUP DENVER LLC
12905 W 40TH AVE
WHEAT RIDGE, CO 804012793
PROVIDENCE HEALTH AND SERVICES WASHINGTON
149 LILLY RD NE
OLYMPIA, WA 985065028
3604866772
Source: CMS National Downloadable File, September 2026.