Organization
POUDRE VALLEY MEDICAL GROUP
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)
(720) 516-8902
Entity
Organization
Contact information
Practice address
4660 YOSEMITE ST, SUITE 100, DENVER, CO 80238-4481
(720) 516-8902
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2083X0100X
Occupational Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
12/30/2021
Last updated
08/05/2024
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