Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

General Practice Physician · Colorado Springs, CO

NPI number 1306436381 Active

Practice location

9480 Briar Village Pt Ste 200
Colorado Springs, CO 80920-7923

Call (719) 278-3627 Map

Fax (719) 623-2101

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed
Clinic/Center	261Q00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

11 other providers at this address

Other general practice physician providers in Colorado Springs

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NPI record

NPI: 1306436381
Entity type: Organization (Type 2)
Issued: Jan 22, 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 Aspen Creek Medical Center · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 278-3627

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 1306436381

Poudre Valley Medical Group, LLC's National Provider Identifier is 1306436381, issued on Jan 22, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 15, 2024.