Medical school: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated: 1992
NPI: 1184648305
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
2121 E HARMONY RD, UNIT 330 UCHMG SURGICAL SPEC FC
FORT COLLINS, CO 805283403
9702215878
Source: CMS National Downloadable File, September 2026.