Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1295719268
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
1400 E BOULDER ST, SUITE 600 UCHMG GENERAL AND VASCULAR SURGERY
COLORADO SPRINGS, CO 809095533
7193646487
Source: CMS National Downloadable File, September 2026.