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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) 652-2433
Entity
Organization

Contact information

Practice address
6767 29TH ST FL 2, GREELEY, CO 80634-5474
(970) 652-2433
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
207R00000X
Internal Medicine Physician
Primary
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RP1001X
Pulmonary Disease Physician
208600000X
Surgery Physician
208800000X
Urology Physician

Other

Enumeration date
04/10/2020
Last updated
10/31/2025
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