Medical school: INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Graduated: 1998
NPI: 1851382634
Practice Locations (2)
POUDRE VALLEY MEDICAL GROUP LLC
4404 BARRANCA LN, UNIT 101
CASTLE ROCK, CO 801047419
7207335260
POUDRE VALLEY MEDICAL GROUP LLC
6767 29TH ST
GREELEY, CO 806345474
9702243636
Source: CMS National Downloadable File, September 2026.