Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Cardiovascular Disease Physician · Pueblo, CO

NPI number 1710772819 Active

Practice location

1600 N Grand Ave Ste 500
Pueblo, CO 81003-2757

Call (719) 545-0663 Map

Fax (719) 595-7903

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Vascular Surgery Physician	2086S0129X	None listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	208G00000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2 other providers at this address

Other cardiovascular disease physician providers in Pueblo

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NPI record

NPI: 1710772819
Entity type: Organization (Type 2)
Issued: Apr 10, 2025
Last updated: Apr 10, 2025
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

Uchealth Medical Group · doing business as
Uchealth Cardiothoracic Surgery Clinic - Parkview Mob · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 545-0663

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 1710772819

Poudre Valley Medical Group, LLC's National Provider Identifier is 1710772819, issued on Apr 10, 2025. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Pueblo, CO. The record was last updated on Apr 10, 2025.