Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 1989
NPI: 1902936107
Practice Locations (2)
BANNER URGENT CARE COLORADO
110 E BOARDWALK
FORT COLLINS, CO 805253047
9708211500
BANNER URGENT CARE COLORADO
2555 E 13TH ST, SUITE 110
LOVELAND, CO 805375134
9708204264
Source: CMS National Downloadable File, September 2026.