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 (MANAGER CREDENTIALING)
(970) 624-4443
Entity
Organization
Contact information
Practice address
3519 RICHMOND DR, FORT COLLINS, CO 80526-5995
(970) 207-4864
(970) 207-4885
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4443
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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