Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Other names
UCHealth Neurology Clinic - Woodland Park
Organization subpart
No
Provider details
NPI number
Authorized official
JANA CONROY (CREDENTIALING MANAGER)
(970) 624-4443
Entity
Organization
Contact information
Practice address
16222 W US HIGHWAY 24 STE 220, WOODLAND PARK, CO 80863-8763
(719) 365-7300
(719) 365-7301
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(719) 365-7300
(719) 365-7301
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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