Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Plastic and Reconstructive Surgery Physician · Loveland, CO

NPI number 1013520469 Active

Practice location

2500 Rocky Mountain Ave Ste 310
Loveland, CO 80538-9004

Call (970) 203-7110 Map

Fax (970) 203-7098

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Specialties and licenses

Taxonomy	Code	License
Plastic and Reconstructive Surgery Physician Primary	2086S0122X	None listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

NPI record

NPI: 1013520469
Entity type: Organization (Type 2)
Issued: Aug 26, 2020
Last updated: Jun 3, 2024
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

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Uchealth Medical Group · doing business as
Uchealth Plastic and Reconstructive Surgery Clinic - Loveland · other name

Authorized official

Jana Conroy
Director of Credentialing
(970) 203-7110

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013520469

Poudre Valley Medical Group, LLC's National Provider Identifier is 1013520469, issued on Aug 26, 2020. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Loveland, CO. The record was last updated on Jun 3, 2024.