Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2021
NPI: 1053986026
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.