Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1962473157
Practice Locations (1)
POUDRE VALLEY MEDICAL GROUP LLC
5818 N NEVADA AVE, SUITE 200
COLORADO SPRINGS, CO 809183505
7193642554
Source: CMS National Downloadable File, September 2026.