Medical school: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1366414716
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.