Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2008
NPI: 1760619753
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
1400 E BOULDER ST, SUITE 600 UCHMG GENERAL AND VASCULAR SURGERY
COLORADO SPRINGS, CO 809095533
7193646487
Source: CMS National Downloadable File, September 2026.