Graduated: 2014
NPI: 1750771390
Practice Locations (3)
SALIDA HOSPITAL DISTRICT
1000 RUSH DR
SALIDA, CO 812019627
7195302477
POUDRE VALLEY MEDICAL GROUP LLC
5050 POWDERHOUSE RD
CHEYENNE, WY 820094800
3076341311
POUDRE VALLEY MEDICAL GROUP LLC
3116 WILLETT DR
LARAMIE, WY 820725048
3077429411
Source: CMS National Downloadable File, September 2026.