Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1518945112
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
5881 W 16TH ST, SUITE A URGENT CARE PEAKVIEW
GREELEY, CO 806342910
9706522447
Source: CMS National Downloadable File, September 2026.