Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1989
NPI: 1689740144
Practice Locations (3)
POUDRE VALLEY MEDICAL GROUP LLC
4404 BARRANCA LN, UNIT 101
CASTLE ROCK, CO 801047419
7207335260
POUDRE VALLEY MEDICAL GROUP LLC
2500 ROCKY MOUNTAIN AVE
LOVELAND, CO 805389004
POUDRE VALLEY MEDICAL GROUP LLC
1024 CENTRAL PARK DR
STEAMBOAT SPR, CO 804878813
9708791322
Source: CMS National Downloadable File, September 2026.