Graduated: 2013
NPI: 1811195902
Practice Locations (2)
POUDRE VALLEY HEALTH CARE INC
1024 S LEMAY AVE
FORT COLLINS, CO 805243929
9704957127
POUDRE VALLEY MEDICAL GROUP LLC
1107 S LEMAY AVE, SUITE 100
FORT COLLINS, CO 805243956
9702074857
Source: CMS National Downloadable File, September 2026.