Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Parent organization
POUDRE VALLEY MEDICAL GROUP, LLC
Other names
UCHealth Surgical Clinic - Harmony Campus, UCHealth Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
POUDRE VALLEY MEDICAL GROUP, LLC
Authorized official
JANA CONROY (DIRECTOR OF CREDENTIALING)
(970) 221-5878
Entity
Organization
Contact information
Practice address
2121 E HARMONY RD UNIT 330, FORT COLLINS, CO 80528-3403
(970) 221-5878
(970) 221-3564
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 221-5878
(970) 221-3564
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
05/02/2024
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