Medical school: UNIVERSITY MEDICAL COLLEGE OF KANSAS CITY
Graduated: 2003
NPI: 1922061522
Practice Locations (2)
SOUTHERN COLORADO CLINIC PC
3676 PARKER BLVD, SUITE 290
PUEBLO, CO 810082214
7195532200
SOUTHERN COLORADO CLINIC PC
3937 IVYWOOD LN
PUEBLO, CO 810052551
7195530111
Source: CMS National Downloadable File, September 2026.