Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2000
NPI: 1063538817
Practice Locations (3)
POUDRE VALLEY MEDICAL GROUP LLC
4404 BARRANCA LN, UNIT 101
CASTLE ROCK, CO 801047419
7207335260
POUDRE VALLEY MEDICAL GROUP LLC
1024 S LEMAY AVE
FORT COLLINS, CO 805243929
POUDRE VALLEY MEDICAL GROUP LLC
2121 E HARMONY RD
FORT COLLINS, CO 805283403
Source: CMS National Downloadable File, September 2026.