Graduated: 2019
Offers telehealth
NPI: 1962065664
Practice Locations (4)
1277 KELLY JOHNSON BLVD
COLORADO SPRINGS, CO 809203992
5413519494
1277 KELLY JOHNSON BLVD, SUITE 160
COLORADO SPRINGS, CO 809203992
5413519494
4741 SW HWY 101, SUITE A
Lincoln City, OR 973671574
4741 SW HWY 101, SUITE A
LINCOLN CITY, OR 973671574
5413519494
Source: CMS National Downloadable File, September 2026.