Graduated: 2008
NPI: 1750549390
Practice Locations (2)
ANIMAS SURGICAL HOSPITAL LLC
575 RIVERGATE LN
DURANGO, CO 813017487
9702473537
UPPER SAN JUAN HEALTH SERVICE DISTRICT
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 811478329
9707313700
Source: CMS National Downloadable File, September 2026.