Graduated: 2001
NPI: 1679782791
Practice Locations (4)
BOULDER COMMUNITY HEALTH
4743 ARAPAHOE AVE, SUITE 201
BOULDER, CO 803031128
3034422395
POUDRE VALLEY MEDICAL GROUP LLC
4404 BARRANCA LN, UNIT 101
CASTLE ROCK, CO 801047419
7207335260
POUDRE VALLEY MEDICAL GROUP LLC
1600 N GRAND AVE
PUEBLO, CO 810032757
POUDRE VALLEY MEDICAL GROUP LLC
400 W 16TH ST
PUEBLO, CO 810032745
7195844921
Source: CMS National Downloadable File, September 2026.