Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Obstetrics & Gynecology Physician · Longmont, CO

NPI number 1295495372 Active

Practice location

1760 E Ken Pratt Blvd Ste 201
Longmont, CO 80504-5311

Call (720) 718-8222 Map

Fax (720) 718-5986

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5 other providers at this address

Other obstetrics & gynecology physician providers in Longmont

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NPI record

NPI: 1295495372
Entity type: Organization (Type 2)
Issued: Dec 30, 2021
Last updated: Jul 15, 2024
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

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Uchealth Medical Group · doing business as
Uchealth Women's Care Clinic - LPMC · other name

Authorized official

Jana Conroy
Director of Credentialing
(720) 718-8222

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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 1295495372

Poudre Valley Medical Group, LLC's National Provider Identifier is 1295495372, issued on Dec 30, 2021. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Longmont, CO. The record was last updated on Jul 15, 2024.