Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Gastroenterology Physician · Colorado Springs, CO

NPI number 1902624810 Active

Practice location

1400 E Boulder St Ste 1722
Colorado Springs, CO 80909-5533

Call (719) 364-3640 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Gastroenterology Physician Primary	207RG0100X	None listed

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

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NPI record

NPI: 1902624810
Entity type: Organization (Type 2)
Issued: Sep 30, 2024
Last updated: Sep 30, 2024
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

Uchealth Medical Group · doing business as
Uchealth Gi Lab - Memorial Hospital Central · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 364-3640

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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 1902624810

Poudre Valley Medical Group, LLC's National Provider Identifier is 1902624810, issued on Sep 30, 2024. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Colorado Springs, CO. The record was last updated on Sep 30, 2024.