Medical school: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated: 2003
NPI: 1033210554
Practice Locations (2)
POUDRE VALLEY HEALTH CARE INC
1025 PENNOCK PL
FORT COLLINS, CO 805243250
BANNER FORT COLLINS PCP LLC
1683 MAIN ST
WINDSOR, CO 805507921
9704007618
Source: CMS National Downloadable File, September 2026.