Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Parent organization
POUDRE VALLEY MEDICAL GROUP, LLC
Other names
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)
(720) 516-9405
Entity
Organization
Contact information
Practice address
100 COOK ST STE 306, DENVER, CO 80206-5339
(720) 516-9405
(720) 516-9433
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(720) 516-9405
(720) 516-9433
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
06/19/2024
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