Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Neurology Physician · Colorado Springs, CO

NPI number 1730794819 Active

Practice location

4110 Briargate Pkwy Ste 140
Colorado Springs, CO 80920-7836

Call (719) 365-7300 Map

Fax (719) 365-7301

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Neurology Physician Primary	2084N0400X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

9 other providers at this address

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NPI record

NPI: 1730794819
Entity type: Organization (Type 2)
Issued: Sep 15, 2020
Last updated: Aug 8, 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 Neurology Clinic - Memorial Hospital North · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 365-7300

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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 1730794819

Poudre Valley Medical Group, LLC's National Provider Identifier is 1730794819, issued on Sep 15, 2020. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Colorado Springs, CO. The record was last updated on Aug 8, 2024.