Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1356529028
Practice Locations (2)
POUDRE VALLEY MEDICAL GROUP LLC
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 805013128
3037761234
MONUMENT HEALTH RAPID CITY HOSPITAL INC
2805 5TH ST
RAPID CITY, SD 577016003
6057555700
Source: CMS National Downloadable File, September 2026.