Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1988
NPI: 1265498117
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
175 S UNION BLVD, SUITE 315 UCHMG OCCUPATIONAL HEALTH UNIO
COLORADO SPRINGS, CO 809103126
7193656840
Source: CMS National Downloadable File, September 2026.