Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Hematology & Oncology Physician · Colorado Springs, CO

NPI number 1720822232 Active

Practice location

1400 E Boulder St Ste 1150
Colorado Springs, CO 80909-5533

Call (719) 365-5572 Map

Fax (719) 365-5129

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.

Another provider at this address

Kimber Taylor, FNP-CNurse Practitioner Colorado Springs, CO NPI 1801668017

Other hematology & oncology physician providers in Colorado Springs

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NPI record

NPI: 1720822232
Entity type: Organization (Type 2)
Issued: Jun 20, 2024
Last updated: Jun 20, 2024
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

Uchealth Medical Group · doing business as

Authorized official

Jana Conroy
Director of Credentialing
(719) 365-5572

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 1720822232

Poudre Valley Medical Group, LLC's National Provider Identifier is 1720822232, issued on Jun 20, 2024. 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 Jun 20, 2024.