Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 2001
NPI: 1952502155
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
200 EMEMPLA CIRCLE, KP INTERMOUNTAIN HEALTH GOOD SAMARITAN HOSP
LAFAYETTE, CO 800263370
3033384545
Source: CMS National Downloadable File, September 2026.