Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Surgery Physician · Colorado Springs, CO

NPI number 1568091718 Active

Practice location

4110 Briargate Pkwy Ste 465
Colorado Springs, CO 80920-7839

Fax (719) 477-0501

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1568091718

Poudre Valley Medical Group, LLC's National Provider Identifier is 1568091718, issued on Apr 8, 2020. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Colorado Springs, CO. The record was last updated on Aug 1, 2024.