Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Plastic and Reconstructive Surgery Physician · Denver, CO

NPI number 1205445772 Active

Practice location

100 Cook St Ste 306
Denver, CO 80206-5339

Fax (720) 516-9433

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XNone listed
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

4 other providers at this address

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About NPI 1205445772

Poudre Valley Medical Group, LLC's National Provider Identifier is 1205445772, issued on Jul 30, 2020. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Denver, CO. The record was last updated on Jun 19, 2024.