Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1710942396
Practice Locations (2)
PUEBLO PATHOLOGY GROUP, PC
400 W 16TH ST
PUEBLO, CO 810032745
7195844426
HUERFANO COUNTY HOSPITAL DISTRICT
23500 US HWY 160
WALSENBURG, CO 810899524
7197385100
Source: CMS National Downloadable File, September 2026.