Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Rheumatology Physician · Pueblo, CO

NPI number 1720874175 Active

Practice location

1619 N Greenwood St Ste 402
Pueblo, CO 81003-2658

Call (719) 562-2030 Map

Fax (719) 562-2096

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Rheumatology Physician Primary	207RR0500X	None listed

Rheumatology Physician: An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Another provider at this address

Jigisha Hareshbhai Rakholiya, MDRheumatology Physician Pueblo, CO NPI 1043891195

NPI record

NPI: 1720874175
Entity type: Organization (Type 2)
Issued: Apr 15, 2025
Last updated: Apr 15, 2025
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

Uchealh Medical Group · doing business as
Uchealth Rheumatology Clinic - Pueblo · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 562-2030

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 1720874175

Poudre Valley Medical Group, LLC's National Provider Identifier is 1720874175, issued on Apr 15, 2025. The primary taxonomy on file is Rheumatology Physician (207RR0500X), and the practice location is in Pueblo, CO. The record was last updated on Apr 15, 2025.