Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Neurological Surgery Physician · Colorado Springs, CO

NPI number 1467067165 Active

Practice location

4110 Briargate Pkwy Ste 100B
Colorado Springs, CO 80920-7836

Fax (719) 364-0161

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

5 other providers at this address

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About NPI 1467067165

Poudre Valley Medical Group, LLC's National Provider Identifier is 1467067165, issued on Sep 10, 2020. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Oct 19, 2026.