Graduated: 1991
NPI: 1942454384
Practice Locations (4)
POUDRE VALLEY MEDICAL GROUP LLC
4404 BARRANCA LN, UNIT 101
CASTLE ROCK, CO 801047419
7207335260
POUDRE VALLEY MEDICAL GROUP LLC
11083 COLORADO BLVD
FIRESTONE, CO 805045873
3038338880
POUDRE VALLEY MEDICAL GROUP LLC
1750 E KEN PRATT BLVD, UCHEALTH
LONGMONT, CO 805045311
9702377848
POUDRE VALLEY MEDICAL GROUP LLC
1760 E KEN PRATT BLVD
LONGMONT, CO 805045311
Source: CMS National Downloadable File, September 2026.