Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Radiation Oncology Physician · Scottsbluff, NE

NPI number 1457011652 Active

Practice location

3911 Avenue B
Scottsbluff, NE 69361-4617

Call (999) 999-9999 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Radiation Oncology Physician Primary	2085R0001X	None listed

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

54 other providers at this address

Other radiation oncology physician providers in Scottsbluff

Regional Radiation Oncology Care, PCRadiation Oncology Physician Scottsbluff, NE NPI 1760514558

See all in Scottsbluff →

NPI record

NPI: 1457011652
Entity type: Organization (Type 2)
Issued: Dec 29, 2021
Last updated: Jul 30, 2024
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

<unavail>
Uchealth Medical Group · doing business as
Uchealth Radiation Oncology - Scottsbluff · other name

Authorized official

Jana Conroy
Director of Credentialing
(970) 624-4443

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 1457011652

Poudre Valley Medical Group, LLC's National Provider Identifier is 1457011652, issued on Dec 29, 2021. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Scottsbluff, NE. The record was last updated on Jul 30, 2024.