Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Radiation Oncology Physician · Pueblo, CO

NPI number 1265229728 Active

Practice location

525 W 15th St Ste 100
Pueblo, CO 81003-2716

Call (719) 542-1680 Map

Fax (719) 542-1681

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Radiation Oncology Physician Primary	2085R0001X	None listed

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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NPI record

NPI: 1265229728
Entity type: Organization (Type 2)
Issued: Apr 21, 2025
Last updated: Apr 21, 2025
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

Uchealth Medical Group · doing business as
Uchealth Radiation Oncology - Pueblo · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 542-1680

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.

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About NPI 1265229728

Poudre Valley Medical Group, LLC's National Provider Identifier is 1265229728, issued on Apr 21, 2025. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Pueblo, CO. The record was last updated on Apr 21, 2025.