Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1993
NPI: 1700999059
Practice Locations (3)
POUDRE VALLEY MEDICAL GROUP LLC
4404 BARRANCA LN, UNIT 101
CASTLE ROCK, CO 801047419
7207335260
POUDRE VALLEY MEDICAL GROUP LLC
1024 S LEMAY AVE
FORT COLLINS, CO 805243929
POUDRE VALLEY MEDICAL GROUP LLC
2121 E HARMONY RD
FORT COLLINS, CO 805283402
9704826456
Source: CMS National Downloadable File, September 2026.