Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Parent organization
POUDRE VALLEY MEDICAL GROUP, LLC
Other names
UCHealth Medical Group, UCHealth Pre-Procedural Impact Clinic - Medical Center of the Rockies
Organization subpart
Yes
Provider details
NPI number
Legal business name
POUDRE VALLEY MEDICAL GROUP, LLC
Authorized official
JANA CONROY (DIRECTOR OF CREDENTIALING)
(970) 624-1566
Entity
Organization
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE # M1921, LOVELAND, CO 80538-9004
(970) 624-1566
(970) 495-8316
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
04/22/2024
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