122300000X
Colorado Springs, CO
Specialty
122300000X
Credential
D.M.D.
NPI
1063672236
6071 E Woodmen Rd, Colorado Springs, CO 80923
(719) 531-9794Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 122300000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 122300000X