Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Hematology & Oncology Physician · Colorado Springs, CO

NPI number 1669001822 Active

Practice location

525 Bob Peters Grv Ste 202
Colorado Springs, CO 80909-4533

Call (719) 365-6568 Map

Fax (719) 365-6317

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

18 other providers at this address

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NPI record

NPI: 1669001822
Entity type: Organization (Type 2)
Issued: Apr 8, 2020
Last updated: Aug 5, 2024
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

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Uchealth Medical Group · doing business as
Uchealth Medical Group · doing business as
Uchealth Cancer Care and Hematology Clinic - Memorial Hospital Central · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 365-6568

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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 1669001822

Poudre Valley Medical Group, LLC's National Provider Identifier is 1669001822, issued on Apr 8, 2020. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Colorado Springs, CO. The record was last updated on Aug 5, 2024.