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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) 652-2801
Entity
Organization

Contact information

Practice address
6767 29TH ST FL 3, GREELEY, CO 80634-5474
(970) 652-2801
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician
207RI0200X
Infectious Disease Physician
207RR0500X
Rheumatology Physician
207T00000X
Neurological Surgery Physician
207Y00000X
Otolaryngology Physician
208000000X
Pediatrics Physician
208100000X
Physical Medicine & Rehabilitation Physician
2083X0100X
Occupational Medicine Physician
2084N0400X
Neurology Physician
208VP0000X
Pain Medicine Physician
231H00000X
Audiologist

Other

Enumeration date
04/13/2020
Last updated
10/06/2025
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