Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1998
Offers telehealth
NPI: 1245270842
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
2315 E HARMONY RD, SUITE 140 UCHMG UROLOGY FORT COLLINS
FORT COLLINS, CO 805288620
9704846700
Source: CMS National Downloadable File, September 2026.