Graduated: 2022
NPI: 1013624667
Practice Locations (3)
POUDRE VALLEY HEALTH CARE INC
1025 PENNOCK PL, SUITE 114
FORT COLLINS, CO 805243250
9704958800
BANNER HEALTH PHYSICIANS COLORADO LLC
1801 16TH ST
GREELEY, CO 806315154
9708104121
BANNER HEALTH PHYSICIANS COLORADO LLC
1801 16TH ST, SUITE C2B
GREELEY, CO 806315154
9708104121
Source: CMS National Downloadable File, September 2026.