Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 2000
NPI: 1114064474
Practice Locations (2)
POUDRE VALLEY MEDICAL GROUP LLC
4404 BARRANCA LN, UNIT 101
CASTLE ROCK, CO 801047419
7207335260
POUDRE VALLEY MEDICAL GROUP LLC
2315 E HARMONY RD
FORT COLLINS, CO 805288620
Source: CMS National Downloadable File, September 2026.