Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1972553774
Practice Locations (2)
POUDRE VALLEY MEDICAL GROUP LLC
3676 PARKER BLVD, SUITE 350
PUEBLO, CO 810082213
7195957780
BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD
8099 CORNELL RD, SUITE 100
CINCINNATI, OH 452492231
5133543700
Source: CMS National Downloadable File, September 2026.