Graduated: 2007
NPI: 1912187568
Practice Locations (3)
POUDRE VALLEY MEDICAL GROUP LLC
4404 BARRANCA LN, UNIT 101
CASTLE ROCK, CO 801047419
7207335260
POUDRE VALLEY MEDICAL GROUP LLC
400 W 16TH ST
PUEBLO, CO 810032745
7195844921
ALLINA HEALTH SYSTEM
2925 CHICAGO AVE
MINNEAPOLIS, MN 554071321
6512627633
Source: CMS National Downloadable File, September 2026.