Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2005
NPI: 1023069192
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
1400 E BOULDER ST, SUITE 2508
COLORADO SPRINGS, CO 809095533
7193656999
Source: CMS National Downloadable File, September 2026.