Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 1997
NPI: 1376513978
Practice Locations (2)
POUDRE VALLEY MEDICAL GROUP LLC
5623 PULPIT PEAK VW
COLORADO SPRINGS, CO 809183954
7193651292
PROWERS COUNTY HOSPITAL DISTRICT
403 KENDALL DR
LAMAR, CO 810523953
7193366767
Source: CMS National Downloadable File, September 2026.