Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 2015
NPI: 1841686706
Practice Locations (2)
POUDRE VALLEY MEDICAL GROUP LLC
11083 COLORADO BLVD
FIRESTONE, CO 805045873
3038338880
COLUMBIA LUTHERAN CHARITIES
2055 EXCHANGE ST, SUITE 270
ASTORIA, OR 971033419
5033384670
Source: CMS National Downloadable File, September 2026.