Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2012
NPI: 1881955920
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.