Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Other names
UCHealth Cancer Care and Hematology Clinic - Hugo
Organization subpart
No
Provider details
NPI number
Authorized official
JANA CONROY (CREDENTIALING MANAGER)
(970) 624-4443
Entity
Organization
Contact information
Practice address
111 6TH ST, HUGO, CO 80821-2002
(719) 365-6568
(719) 365-6317
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(719) 365-6568
(719) 365-6317
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
04/09/2020
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