Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Family Medicine Physician · Colorado Springs, CO

NPI number 1194344879 Active

Practice location

1220 Lake Plaza Dr Ste 150
Colorado Springs, CO 80906-3548

Call (719) 365-3600 Map

Fax (719) 365-3601

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Sports Medicine (Family Medicine) Physician	207QS0010X	None listed
Sports Medicine (Internal Medicine) Physician	207RS0010X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

Other family medicine physician providers in Colorado Springs

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NPI record

NPI: 1194344879
Entity type: Organization (Type 2)
Issued: Apr 13, 2020
Last updated: Jun 11, 2024
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

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Uchealth Medical Group · doing business as
Uchealth Primary Care and Sports Medicine Clinic - Lake Plaza · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 365-3600

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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 1194344879

Poudre Valley Medical Group, LLC's National Provider Identifier is 1194344879, issued on Apr 13, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jun 11, 2024.