Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Otolaryngology Physician · Pueblo, CO

NPI number 1326847427 Active

Practice location

1218 S Pueblo Blvd
Pueblo, CO 81005-1593

Call (719) 542-1803 Map

Fax (719) 542-1807

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Otolaryngology Physician Primary	207Y00000X	None listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

5 other providers at this address

Other otolaryngology physician providers in Pueblo

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NPI record

NPI: 1326847427
Entity type: Organization (Type 2)
Issued: Mar 11, 2025
Last updated: Mar 11, 2025
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

Uchealth Medical Group · doing business as
Uchealth Ear, Nose and Throat Clinic - Pueblo · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 542-1803

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 1326847427

Poudre Valley Medical Group, LLC's National Provider Identifier is 1326847427, issued on Mar 11, 2025. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Pueblo, CO. The record was last updated on Mar 11, 2025.