Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1467403410
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
2121 E HARMONY RD, UNIT 100 UCHMG CARDIOLOGY FORT COLLINS
FORT COLLINS, CO 805283401
9702211000
Source: CMS National Downloadable File, September 2026.