Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Family Medicine Physician · Pueblo West, CO

NPI number 1639978737 Active

Practice location

121 S Crescent Dr
Pueblo West, CO 81007-5433

Call (719) 595-7575 Map

Fax (719) 547-8368

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7 other providers at this address

Other family medicine physician providers in Pueblo West

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NPI record

NPI: 1639978737
Entity type: Organization (Type 2)
Issued: Mar 11, 2025
Last updated: Mar 11, 2025
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

Uchealth Medical Group · doing business as
Uchealth Family Medicine - Pueblo West · 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.

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About NPI 1639978737

Poudre Valley Medical Group, LLC's National Provider Identifier is 1639978737, issued on Mar 11, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pueblo West, CO. The record was last updated on Mar 11, 2025.