Graduated: 2004
NPI: 1730295221
Practice Locations (2)
POUDRE VALLEY MEDICAL GROUP LLC
2767 JANITELL RD
COLORADO SPRINGS, CO 809064102
7193652888
COLORADO PERMANENTE MEDICAL GROUP PC
10350 E DAKOTA AVE, KAISER PERMANENTE REGIONAL OFFICE
DENVER, CO 802471314
3033384545
Source: CMS National Downloadable File, September 2026.