Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1997
NPI: 1689646812
Practice Locations (4)
POUDRE VALLEY MEDICAL GROUP LLC
4404 BARRANCA LN, UNIT 101
CASTLE ROCK, CO 801047419
7207335260
POUDRE VALLEY MEDICAL GROUP LLC
1501 COURT ST
PUEBLO, CO 810032720
7195436755
POUDRE VALLEY MEDICAL GROUP LLC
400 W 16TH ST
PUEBLO, CO 810032745
7195844921
POUDRE VALLEY MEDICAL GROUP LLC
4010 JERRY MURPHY RD
PUEBLO, CO 810011045
7195622021
Source: CMS National Downloadable File, September 2026.