Graduated: 2003
NPI: 1962582320
Practice Locations (2)
ARKANSAS VALLEY REGIONAL MEDICAL CENTER
1100 CARSON AVE
LA JUNTA, CO 810502751
7193845412
UPPER SAN JUAN HEALTH SERVICE DISTRICT
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 811478329
9707313700
Source: CMS National Downloadable File, September 2026.