Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Cardiovascular Disease Physician · Longmont, CO

NPI number 1912853755 Active

Practice location

1760 E Ken Pratt Blvd Ste 401
Longmont, CO 80504-5311

Call (720) 718-8180 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Pulmonary Disease Physician 207RP1001XNone listed
Otolaryngology Physician 207Y00000XNone listed
Urology Physician 208800000XNone listed
Audiologist 231H00000XNone 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.

5 other providers at this address

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About NPI 1912853755

Poudre Valley Medical Group, LLC's National Provider Identifier is 1912853755, issued on Mar 5, 2026. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Longmont, CO. The record was last updated on Mar 5, 2026.