Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1811940067
Practice Locations (1)
3470 CENTENNIAL BLVD, SUITE 110
COLORADO SPRINGS, CO 809074091
7195751800
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1811940067
3470 CENTENNIAL BLVD, SUITE 110
COLORADO SPRINGS, CO 809074091
7195751800
Source: CMS National Downloadable File, September 2026.