Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Cardiovascular Disease Physician · Longmont, CO

NPI number 1336769173 Active

Practice location

2030 Mountain View Ave Ste 540
Longmont, CO 80501-3183

Call (970) 221-1000 Map

Fax (970) 624-1891

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

5 other providers at this address

Other cardiovascular disease physician providers in Longmont

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NPI record

NPI: 1336769173
Entity type: Organization (Type 2)
Issued: Apr 22, 2020
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 Heart and Vascular Clinic - Longmont · other name

Authorized official

Jana Conroy
Director of Credentialing
(970) 221-1000

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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 1336769173

Poudre Valley Medical Group, LLC's National Provider Identifier is 1336769173, issued on Apr 22, 2020. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Longmont, CO. The record was last updated on Jul 15, 2024.