Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Parent organization
POUDRE VALLEY MEDICAL GROUP, LLC
Other names
UCHealth Anesthesiology - Memorial Hospital Central, 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)
(719) 365-6999
Entity
Organization
Contact information
Practice address
1400 E BOULDER ST STE 1183, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-2837
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
07/12/2024
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