Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Surgery Physician · Fort Collins, CO

NPI number 1063290203 Active

Practice location

2121 E Harmony Rd Unit 260
Fort Collins, CO 80528-3402

Call (970) 482-6456 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Obesity Medicine (Internal Medicine) Physician	207RB0002X	None listed
Surgery Physician Primary	208600000X	None listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

2 other providers at this address

Other surgery physician providers in Fort Collins

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NPI record

NPI: 1063290203
Entity type: Organization (Type 2)
Issued: Sep 19, 2023
Last updated: May 22, 2024
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

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Uchealth Medical Group · doing business as
Uchealth Medical Group · doing business as

Authorized official

Jana Conroy
Director of Credentialing
(970) 482-6456

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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 1063290203

Poudre Valley Medical Group, LLC's National Provider Identifier is 1063290203, issued on Sep 19, 2023. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Fort Collins, CO. The record was last updated on May 22, 2024.