Graduated: 2001
NPI: 1326225301
Practice Locations (5)
POUDRE VALLEY MEDICAL GROUP LLC
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 805013128
3037761234
NORTHWESTERN MEDICAL FACULTY FOUNDATION
10370 HALIGUS RD, SUITE 320
HUNTLEY, IL 601429582
8478027090
4041 N HIGH ST
COLUMBUS, OH 432143248
6148240882
4041 N HIGH ST, SUITE 101
COLUMBUS, OH 432143248
6148240882
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST, LICKING MEMORIAL PATHOLOGY
NEWARK, OH 430551822
2205644266
Source: CMS National Downloadable File, September 2026.