Graduated: 2020
NPI: 1710585500
Practice Locations (2)
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
1801 16TH ST
GREELEY, CO 806315154
9708104593
POUDRE VALLEY MEDICAL GROUP LLC
5881 W 16TH ST, SUITE A URGENT CARE PEAKVIEW
GREELEY, CO 806342910
9706522447
Source: CMS National Downloadable File, September 2026.