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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)
(719) 365-7630
Entity
Organization

Contact information

Practice address
175 S UNION BLVD STE 310, COLORADO SPRINGS, CO 80910-3126
(719) 365-7630
(719) 365-7631
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
207RR0500X
Rheumatology Physician
213E00000X
Podiatrist

Other

Enumeration date
04/13/2020
Last updated
04/06/2026
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