Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1997
Offers telehealth
NPI: 1073590972
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
4110 BRIARGATE PKWY
COLORADO SPRINGS, CO 809207835
7193648346
Source: CMS National Downloadable File, September 2026.