Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Pulmonary Disease Physician · Pueblo, CO

NPI number 1407745003 Active

Practice location

2515 Pitman Pl
Pueblo, CO 81004-2633

Call (719) 404-1001 Map

Fax (719) 404-1061

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pulmonary Disease Physician Primary	207RP1001X	None listed

Pulmonary Disease Physician: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

12 other providers at this address

Other pulmonary disease physician providers in Pueblo

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NPI record

NPI: 1407745003
Entity type: Organization (Type 2)
Issued: Jun 30, 2025
Last updated: Jun 30, 2025
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

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Uchealth Medical Group · doing business as
Uchealth Pulmonolgy Clinic - Rock Canyon Respiratory and Rehab Center · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 404-1001

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 1407745003

Poudre Valley Medical Group, LLC's National Provider Identifier is 1407745003, issued on Jun 30, 2025. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in Pueblo, CO. The record was last updated on Jun 30, 2025.