Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1995
Offers telehealth
NPI: 1790768760
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
5050 POWDERHOUSE RD
CHEYENNE, WY 820094800
3076341311
Source: CMS National Downloadable File, September 2026.