Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Surgery Physician · Pueblo, CO

NPI number 1699562108 Active

Practice location

1600 N Grand Ave Ste 540
Pueblo, CO 81003-2757

Call (719) 545-8240 Map

Fax (719) 545-4319

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Surgery Physician Primary	208600000X	None 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…

3 other providers at this address

Other surgery physician providers in Pueblo

See all in Pueblo →

NPI record

NPI: 1699562108
Entity type: Organization (Type 2)
Issued: Apr 21, 2025
Last updated: Apr 21, 2025
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

Uchealth Medical Group · doing business as
Sangre de Cristo Weight Loss Institute · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 545-8240

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 1699562108

Poudre Valley Medical Group, LLC's National Provider Identifier is 1699562108, issued on Apr 21, 2025. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Pueblo, CO. The record was last updated on Apr 21, 2025.