Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Neurological Surgery Physician · Fort Collins, CO

NPI number 1164023313 Active

Practice location

1107 S Lemay Ave Ste 240
Fort Collins, CO 80524-3959

Fax (970) 495-7424

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed
Neurology Physician 2084N0400XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

2 other providers at this address

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About NPI 1164023313

Poudre Valley Medical Group, LLC's National Provider Identifier is 1164023313, issued on Nov 4, 2020. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Fort Collins, CO. The record was last updated on Jun 7, 2024.