Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Other names
UCHealth Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JANA CONROY MBA, RHIA (CREDENTIALING MANAGER)
(970) 624-4443
Entity
Organization
Contact information
Practice address
1900 16TH ST, GREELEY, CO 80631-5114
(970) 652-2433
(970) 652-2252
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 652-2433
(970) 652-2252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
Other
Enumeration date
05/12/2020
Last updated
01/14/2021
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