Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1989
Offers telehealth
NPI: 1972584217
Practice Locations (1)
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
106 BLANCA AVE
ALAMOSA, CO 811012340
7135893000
Source: CMS National Downloadable File, September 2026.