Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

General Practice Physician · Colorado Springs, CO

NPI number 1114598737 Active

Practice location

1400 E Boulder St Ste 2410
Colorado Springs, CO 80909-5533

Call (719) 365-6525 Map

Fax (719) 365-5831

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	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.

4 other providers at this address

Other general practice physician providers in Colorado Springs

See all in Colorado Springs →

NPI record

NPI: 1114598737
Entity type: Organization (Type 2)
Issued: Jul 6, 2021
Last updated: May 29, 2024
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

<unavail>
Uchealth Medical Group · doing business as

Authorized official

Jana Conroy
Director of Credentialing
(719) 365-6525

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.

Is this your record? How to update it.

About NPI 1114598737

Poudre Valley Medical Group, LLC's National Provider Identifier is 1114598737, issued on Jul 6, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Colorado Springs, CO. The record was last updated on May 29, 2024.