Medical school: HARVARD MEDICAL SCHOOL
Graduated: 1974
Offers telehealth
NPI: 1710952577
Practice Locations (2)
127 JUSTICE CTR RD J
CANON CITY, CO 812129378
7192691136
1080 CHINOOK LN
PUEBLO, CO 810011850
7195649400
Source: CMS National Downloadable File, September 2026.