Organization · Type 2 NPI
Poudre Valley Medical Group, LLC
General Practice Physician · Woodland Park, CO
NPI number
1114532801
Active
Practice location
16222 W US Highway 24 Ste 220
Woodland Park, CO 80863-8763
Fax (719) 374-6212
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | None listed |
| Pulmonary Disease Physician | 207RP1001X | None listed |
| Neurological Surgery Physician | 207T00000X | None listed |
| Nuclear Cardiology Physician | 207UN0901X | None listed |
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| Orthopaedic Surgery Physician | 207X00000X | None listed |
| Otolaryngology Physician | 207Y00000X | None listed |
| Neurology Physician | 2084N0400X | None listed |
| Surgery Physician | 208600000X | None listed |
| Vascular Surgery Physician | 2086S0129X | None listed |
| Urology Physician | 208800000X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Woodland Park
About NPI 1114532801
Poudre Valley Medical Group, LLC's National Provider Identifier is 1114532801, issued on Sep 10, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Woodland Park, CO. The record was last updated on Oct 24, 2024.