Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Other names
UCHealth Orthopedics Clinic - Broomfield
Organization subpart
No
Provider details
NPI number
Authorized official
JANA CONROY (CREDENTIALING MANAGER)
(970) 624-4443
Entity
Organization
Contact information
Practice address
875 W 136TH AVE STE 100, BROOMFIELD, CO 80023-9303
(303) 544-3820
(303) 544-3830
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(303) 544-3820
(303) 544-3830
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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