Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1995
NPI: 1376681213
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
320 E FONTANERO ST, SUITE 100 UCHEALTH PRIMARY CARE FONTANERO
COLORADO SPRINGS, CO 809077535
7193657420
Source: CMS National Downloadable File, September 2026.