Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Other names
UCHealth Breast Surgical Clinic - Printers Park
Organization subpart
No
Provider details
NPI number
Authorized official
JANA CONROY (DIRECTOR OF CREDENTIALING)
(970) 624-4443
Entity
Organization
Contact information
Practice address
175 S UNION BLVD STE 345, COLORADO SPRINGS, CO 80910-3146
(719) 477-0211
(719) 364-2570
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(719) 477-0211
(719) 364-2570
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
12/14/2022
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