Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

General Practice Physician · Colorado Springs, CO

NPI number 1437878907 Active

Practice location

4050 Briargate Pkwy # B1220
Colorado Springs, CO 80920-7815

Call (719) 365-5629 Map

Fax (719) 365-5831

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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NPI record

NPI: 1437878907
Entity type: Organization (Type 2)
Issued: Aug 26, 2022
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 Medical Group · doing business as
Uchealth Pre-Procedure Services - Memorial Hospital North · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 365-5629

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 1437878907

Poudre Valley Medical Group, LLC's National Provider Identifier is 1437878907, issued on Aug 26, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 24, 2024.