Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Other names
UCHealth Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JANA CONROY (DIRECTOR OF CREDENTIALING)
(970) 624-4443
Entity
Organization
Contact information
Practice address
3843 RIO VISTA DRIVE, SUITE 2700, COLORADO SPRINGS, CO 80907
(719) 364-5440
(719) 364-5441
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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