Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 2024
NPI: 1679369896
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.