Graduated: 2002
NPI: 1740348432
Practice Locations (2)
TRU COMMUNITY CARE
2594 TRAILRIDGE DR E
LAFAYETTE, CO 800263186
3034497740
POUDRE VALLEY MEDICAL GROUP LLC
1750 E KEN PRATT BLVD, UCHEALTH
LONGMONT, CO 805045311
9702377848
Source: CMS National Downloadable File, September 2026.