Graduated: 1973
NPI: 1437115409
Practice Locations (3)
POUDRE VALLEY MEDICAL GROUP LLC
4404 BARRANCA LN, UNIT 101
CASTLE ROCK, CO 801047419
7207335260
POUDRE VALLEY MEDICAL GROUP LLC
1600 N GRAND AVE, SUITE 310
PUEBLO, CO 810032729
7195957680
POUDRE VALLEY MEDICAL GROUP LLC
400 W 16TH ST
PUEBLO, CO 810032745
7195844921
Source: CMS National Downloadable File, September 2026.