Medical school: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated: 1992
Also: GENERAL PRACTICE
NPI: 1396858650
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
2121 E HARMONY RD, SUITE 250 UCHEALTH SURGICAL CLINIC NORTHE
FORT COLLINS, CO 805283402
9704826456
Source: CMS National Downloadable File, September 2026.