Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1285645986
Practice Locations (2)
POUDRE VALLEY MEDICAL GROUP LLC
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 805013128
3037761234
POUDRE VALLEY MEDICAL GROUP LLC
5050 POWDERHOUSE RD
CHEYENNE, WY 820094800
3076341311
Source: CMS National Downloadable File, September 2026.