Graduated: 2021
NPI: 1669048609
Practice Locations (2)
LOMPOC VALLEY MEDICAL CENTER
1225 N H ST
LOMPOC, CA 934363301
8057378700
POUDRE VALLEY MEDICAL GROUP LLC
2127 E HARMONY RD, SUITE 140 UCHMG HARMONY URGENT CARE
FORT COLLINS, CO 805283406
9702976250
Source: CMS National Downloadable File, September 2026.