Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1999
NPI: 1821026485
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
215 S PARKSIDE DR, 215 KAISER PERMANENTE PARKSIDE MEDICAL
COLORADO SPRINGS, CO 809103131
3033384545
Source: CMS National Downloadable File, September 2026.