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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) 495-7410
Entity
Organization

Contact information

Practice address
1106 E PROSPECT RD, BUILDING B, SUITE 100, FORT COLLINS, CO 80525-5304
(970) 495-7410
(970) 495-7425
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
02/17/2011
Last updated
04/08/2025
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