Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Cardiovascular Disease Physician · Colorado Springs, CO

NPI number 1154008779 Active

Practice location

3843 Rio Vista Drive, Suite 2100
Colorado Springs, CO 80917-3381

Call (719) 364-5250 Map

Fax (719) 364-5251

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Plastic and Reconstructive Surgery Physician 2086S0122XNone listed
Vascular Surgery Physician 2086S0129XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1154008779

Poudre Valley Medical Group, LLC's National Provider Identifier is 1154008779, issued on Jul 5, 2023. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jun 7, 2024.