Medical school: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated: 1990
NPI: 1124014519
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
1015 E PIKES PEAK AVE, SUITE 100
COLORADO SPRINGS, CO 809035700
7196328118
Source: CMS National Downloadable File, September 2026.