Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Parent organization
POUDRE VALLEY MEDICAL GROUP, LLC
Other names
UCHealth Medical Group, UCHealth Occupational Medicine Clinic - Circle Square
Organization subpart
Yes
Provider details
NPI number
Legal business name
POUDRE VALLEY MEDICAL GROUP, LLC
Authorized official
JANA CONROY RHIA (DIRECTOR OF CREDENTIALING)
(719) 365-6478
Entity
Organization
Contact information
Practice address
2773 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 365-6478
(719) 365-7681
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
07/15/2024
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