Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Neurology Physician · Pueblo, CO

NPI number 1962298711 Active

Practice location

1619 N Greenwood St Ste 200
Pueblo, CO 81003-2656

Call (719) 595-7760 Map

Fax (719) 595-7765

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.

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NPI record

NPI: 1962298711
Entity type: Organization (Type 2)
Issued: Apr 17, 2025
Last updated: Apr 17, 2025
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

Uchealth Medical Group · doing business as
Uchealth Neurology Clinic - Pueblo Suite 200 · other name

Authorized official

Jana Conroy
Director of Credentialing
(719) 595-7760

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 1962298711

Poudre Valley Medical Group, LLC's National Provider Identifier is 1962298711, issued on Apr 17, 2025. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Pueblo, CO. The record was last updated on Apr 17, 2025.