Graduated: 1986
NPI: 1851372536
Practice Locations (7)
POUDRE VALLEY MEDICAL GROUP LLC
4404 BARRANCA LN, UNIT 101
CASTLE ROCK, CO 801047419
7207335260
POUDRE VALLEY MEDICAL GROUP LLC
1400 E BOULDER ST
COLORADO SPRINGS, CO 809095533
POUDRE VALLEY MEDICAL GROUP LLC
1400 E BOULDER, SUITE 2410 PRE PROCEDURE MEMORIAL
COLORADO SPRINGS, CO 809095533
7193656525
BAYCARE MEDICAL GROUP, INC.
2461 ENTERPRISE RD, SUITE C
CLEARWATER, FL 337631726
7277255060
BAYCARE MEDICAL GROUP, INC.
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 336076307
8133216589
BAYCARE MEDICAL GROUP, INC.
3001 W DR MARTIN LUTHER KING JR BLVD, 1ST FLOOR
TAMPA, FL 336076307
8133216820
BAYCARE MEDICAL GROUP, INC.
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 336076307
Source: CMS National Downloadable File, September 2026.