Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Radiation Oncology Physician · Colorado Springs, CO

NPI number 1700490455 Active

Practice location

4080 Briargate Parkway
Colorado Springs, CO 80920

Call (719) 365-6800 Map

Fax (719) 365-5740

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Radiation Oncology Physician Primary	2085R0001X	None listed

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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NPI record

NPI: 1700490455
Entity type: Organization (Type 2)
Issued: Sep 1, 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 Radiation Oncology - Memorial North · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 365-6800

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About NPI 1700490455

Poudre Valley Medical Group, LLC's National Provider Identifier is 1700490455, issued on Sep 1, 2020. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Colorado Springs, CO. The record was last updated on Aug 5, 2024.