Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Other names
UCHealth Primary Care - Uptown
Organization subpart
No
Provider details
NPI number
Authorized official
JANA CONROY (CREDENTIALING MANAGER)
(970) 624-4443
Entity
Organization
Contact information
Practice address
4650 SIGNAL TREE DR STE 1200, TIMNATH, CO 80547-4908
(970) 237-7415
(970) 237-7420
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(303) 860-7770
(303) 860-7775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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