Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Cardiovascular Disease Physician · Laramie, WY

NPI number 1992336168 Active

Practice location

255 N 30th St
Laramie, WY 82072-5140

Call (970) 221-1000 Map

Fax (970) 297-6844

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

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.

60 other providers at this address

Other cardiovascular disease physician providers in Laramie

Poudre Valley Medical Group, LLCCardiovascular Disease Physician Laramie, WY NPI 1205456035

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NPI record

NPI: 1992336168
Entity type: Organization (Type 2)
Issued: Jan 28, 2020
Last updated: Aug 19, 2024
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

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Uchealth Medical Group · doing business as
Uchealth Heart and Vascular Visiting Specialty Clinic - Laramie · other name

Authorized official

Jana Conroy
Director of Credentialing
(970) 221-1000

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 1992336168

Poudre Valley Medical Group, LLC's National Provider Identifier is 1992336168, issued on Jan 28, 2020. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Laramie, WY. The record was last updated on Aug 19, 2024.