Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Parent organization
POUDRE VALLEY MEDICAL GROUP, LLC
Other names
UCHealth Brain and Spine Clinic - Fort Collins, 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) 495-7421
Entity
Organization
Contact information
Practice address
1107 S LEMAY AVE STE 240, FORT COLLINS, CO 80524-3959
(970) 495-7421
(970) 495-7424
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 495-7421
(970) 495-7424
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
11/04/2020
Last updated
06/07/2024
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