Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Parent organization
POUDRE VALLEY MEDICAL GROUP, LLC
Other names
UCHealth Medical Group, UCHealth Plastic and Reconstructive Surgery Clinic - Fort Collins
Organization subpart
Yes
Provider details
NPI number
Legal business name
POUDRE VALLEY MEDICAL GROUP, LLC
Authorized official
JANA CONROY (DIRECTOR OF CREDENTIALING)
(970) 493-8800
Entity
Organization
Contact information
Practice address
2315 E HARMONY RD STE 160, FORT COLLINS, CO 80528-8620
(970) 493-8800
(970) 498-8800
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 493-8800
(970) 498-8800
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
07/15/2024
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