Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1993
NPI: 1912034984
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
9695 S YOSEMITE ST, SUITE 224 UCHMG PRIMARY CARE YOSEMITE
LONE TREE, CO 801242890
3032653970
Source: CMS National Downloadable File, September 2026.