Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1984
NPI: 1174592414
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
1400 E BOULDER ST, SUITE 700 UCHMG CARDIO/CARDIAC SURG COL
COLORADO SPRINGS, CO 809095533
7196357172
Source: CMS National Downloadable File, September 2026.