Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2015
NPI: 1639552722
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
1400 E BOULDER ST, SUITE 500 EAR NOSE AND THROAT CLINIC MEM HOSP
COLORADO SPRINGS, CO 809095533
7193644120
Source: CMS National Downloadable File, September 2026.