Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1985
Also: INTERNAL MEDICINE
NPI: 1669478541
Practice Locations (4)
POUDRE VALLEY MEDICAL GROUP LLC
109 LATIGO LN, SUITE E
CANON CITY, CO 812128113
7195622900
POUDRE VALLEY MEDICAL GROUP LLC
4404 BARRANCA LN, UNIT 101
CASTLE ROCK, CO 801047419
7207335260
POUDRE VALLEY MEDICAL GROUP LLC
3670 PARKER BLVD, SUITE 101
PUEBLO, CO 810082285
7195622900
POUDRE VALLEY MEDICAL GROUP LLC
400 W 16TH ST
PUEBLO, CO 810032745
7195844921
Source: CMS National Downloadable File, September 2026.