Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated: 2017
NPI: 1972041093
Practice Locations (1)
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
19021 US HWY 285
LA JARA, CO 811409410
7192745121
Source: CMS National Downloadable File, September 2026.