Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Family Medicine Physician · Cheyenne, WY

NPI number 1346864790 Active

Practice location

5050 Powderhouse Rd
Cheyenne, WY 82009-4800

Fax (307) 634-1271

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Pulmonary Disease Physician 207RP1001XNone listed
Otolaryngology Physician 207Y00000XNone listed
Neurology Physician 2084N0400XNone listed
Vascular Surgery Physician 2086S0129XNone listed
Pain Medicine Physician 208VP0000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

25 other providers at this address

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About NPI 1346864790

Poudre Valley Medical Group, LLC's National Provider Identifier is 1346864790, issued on Jun 2, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Cheyenne, WY. The record was last updated on Jan 16, 2026.