Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1982676706
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.