Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1326092131
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
1725 E BOULDER ST, SUITE 101 UCHMG NEUROSCIENCES COLORADO S
COLORADO SPRINGS, CO 809095740
7193656300
Source: CMS National Downloadable File, September 2026.