Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Plastic and Reconstructive Surgery Physician · Colorado Springs, CO

NPI number 1437762028 Active

Practice location

1625 Medical Center Pt Ste 220
Colorado Springs, CO 80907-5798

Call (719) 364-5080 Map

Fax (719) 364-5081

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Plastic and Reconstructive Surgery Physician Primary	2086S0122X	None listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

8 other providers at this address

Other plastic and reconstructive surgery physician providers in Colorado Springs

See all in Colorado Springs →

NPI record

NPI: 1437762028
Entity type: Organization (Type 2)
Issued: Aug 25, 2020
Last updated: Jul 24, 2024
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

<unavail>
Uchealth Medical Group · doing business as
Uchealth Plastic and Reconstructive Surgery Clinic - Colorado Springs · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 364-5080

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.

Is this your record? How to update it.

About NPI 1437762028

Poudre Valley Medical Group, LLC's National Provider Identifier is 1437762028, issued on Aug 25, 2020. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 24, 2024.