Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1993
NPI: 1851372320
Practice Locations (4)
POUDRE VALLEY MEDICAL GROUP LLC
4404 BARRANCA LN, UNIT 101
CASTLE ROCK, CO 801047419
7207335260
POUDRE VALLEY MEDICAL GROUP LLC
311 W 14TH ST
PUEBLO, CO 810032705
7195957585
POUDRE VALLEY MEDICAL GROUP LLC
3670 PARKER BLVD, SUITE 101
PUEBLO, CO 810082285
7195622900
POUDRE VALLEY MEDICAL GROUP LLC
400 W 16TH ST
PUEBLO, CO 810032745
7195844921
Source: CMS National Downloadable File, September 2026.