Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Parent organization
POUDRE VALLEY MEDICAL GROUP, LLC
Other names
UCHealth Behavioral Health Clinic - Pueblo, 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)
(719) 584-4767
Entity
Organization
Contact information
Practice address
56 CLUB MANOR DR STE 100, PUEBLO, CO 81008-1685
(719) 584-4767
(719) 595-7906
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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