Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2001
NPI: 1962504704
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
POUDRE VALLEY MEDICAL GROUP LLC
525 W 15TH ST
PUEBLO, CO 810032716
Source: CMS National Downloadable File, September 2026.