# POUDRE VALLEY MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POUDRE VALLEY MEDICAL GROUP, LLC
- **Other names:** UCHealth Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457970238
- **Legal business name:** POUDRE VALLEY MEDICAL GROUP, LLC
- **Authorized official:** JANA CONROY (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (719) 365-7630

## Contact information

- **Practice address:** 175 S UNION BLVD STE 310, COLORADO SPRINGS, CO 80910-3126
- **Practice address phone:** (719) 365-7630
- **Practice address fax:** (719) 365-7631
- **Mailing address:** 2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 04/13/2020
- **Last updated:** 04/06/2026