Graduated: 2001
NPI: 1356722417
Practice Locations (2)
POUDRE VALLEY MEDICAL GROUP LLC
11820 DESTINATION DR
BROOMFIELD, CO 800212518
7208480000
SONDERMIND PROVIDER NETWORK LLC
720 S COLORADO BLVD, PH NORTH
DENVER, CO 802461904
8448437279
Source: CMS National Downloadable File, September 2026.