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)
(970) 482-4373
Entity
Organization
Contact information
Practice address
2315 E HARMONY RD STE 110, FORT COLLINS, CO 80528-8623
(970) 482-4373
(970) 484-5682
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 482-4373
(970) 484-5682
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
05/13/2020
Last updated
06/19/2024
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