Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2008
NPI: 1194972000
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
1107 S LEMAY AVE, UNIT 240 UCHMG BRAIN AND SPINE FORT COLLIN
FORT COLLINS, CO 805243959
9704957420
Source: CMS National Downloadable File, September 2026.