Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Other names
UCHealth Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JANA CONROY (MANAGER CREDENTIALING)
(970) 624-4443
Entity
Organization
Contact information
Practice address
2975 GINNALA DR STE 120, LOVELAND, CO 80538-3300
(970) 624-5170
(970) 669-7521
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-5170
(970) 669-7521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
03/18/2010
Last updated
08/23/2021
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