Graduated: 1986
NPI: 1710062344
Practice Locations (2)
POUDRE VALLEY MEDICAL GROUP LLC
2101 MAIN ST
LONGMONT, CO 805011406
7207458020
QUALITY URGENT CARE PROFESSIONAL CORPORATION
1335 E S BOULDER RD, SUITE C AFC URGENT CARE
LOUISVILLE, CO 800272304
7209619700
Source: CMS National Downloadable File, September 2026.