Graduated: 2000
NPI: 1316046907
Practice Locations (2)
OBHG COLORADO PC
1400 E BOULDER ST
COLORADO SPRINGS, CO 809095533
8009672289
POUDRE VALLEY MEDICAL GROUP LLC
1400 E BOULDER ST, SUITE 2508
COLORADO SPRINGS, CO 809095533
7193656999
Source: CMS National Downloadable File, September 2026.