Medical school: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated: 1993
Offers telehealth
NPI: 1780792747
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
1107 S LEMAY AVE, SUITE 100
FORT COLLINS, CO 805243956
9702074857
Source: CMS National Downloadable File, September 2026.