Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2012
NPI: 1316280993
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
4105 BRIARGATE PKWY, SUITE 200
COLORADO SPRINGS, CO 809203484
7195994692
Source: CMS National Downloadable File, September 2026.