Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1871620450
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
1375 E 19TH AVE, KP INTERMOUNTAIN HEALTH ST. JOSEPH HOSPITAL
DENVER, CO 802181114
3033384545
Source: CMS National Downloadable File, September 2026.