Medical school: MEDICAL COLLEGE OF OHIO
Graduated: 1994
NPI: 1740289057
Practice Locations (4)
POUDRE VALLEY MEDICAL GROUP LLC
4404 BARRANCA LN, UNIT 101
CASTLE ROCK, CO 801047419
7207335260
POUDRE VALLEY MEDICAL GROUP LLC
4050 BRIARGATE PKWY
COLORADO SPRINGS, CO 809207815
POUDRE VALLEY MEDICAL GROUP LLC
4080 BRIARGATE PKWY
COLORADO SPRINGS, CO 809207815
7193656800
POUDRE VALLEY MEDICAL GROUP LLC
4105 BRIARGATE PKWY, SUITE 200
COLORADO SPRINGS, CO 809203484
7195994692
Source: CMS National Downloadable File, September 2026.