Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Cardiovascular Disease Physician · Canon City, CO

NPI number 1841087368 Active

Practice location

109 Latigo Ln Ste E
Canon City, CO 81212-8113

Call (719) 562-2900 Map

Fax (719) 924-1592

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
Gastroenterology Physician	207RG0100X	None listed
Pulmonary Disease Physician	207RP1001X	None listed
Vascular Surgery Physician	2086S0129X	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.

Another provider at this address

Rocky Mountain Cancer Centers LLPMedical Oncology Physician Canon City, CO NPI 1770258030

Other cardiovascular disease physician providers in Canon City

See all in Canon City →

NPI record

NPI: 1841087368
Entity type: Organization (Type 2)
Issued: Apr 21, 2025
Last updated: May 19, 2025
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

<unavail>
Uchealth Medical Group · doing business as
Uchealth Specialty Care Clinic - Canon City · other name
Uchealth Specialty Care Clinic - Canon City · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 562-2900

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 1841087368

Poudre Valley Medical Group, LLC's National Provider Identifier is 1841087368, issued on Apr 21, 2025. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Canon City, CO. The record was last updated on May 19, 2025.