Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Other names
UCHealth Thoracic Surgery - Salida
Organization subpart
No
Provider details
NPI number
Authorized official
JANA CONROY (CREDENTIALING MANAGER)
(970) 624-4443
Entity
Organization
Contact information
Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2200
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(719) 530-2200
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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