Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Other names
UCHealth Outreach Clinic - Burlington
Organization subpart
No
Provider details
NPI number
Authorized official
JANA CONROY (CREDENTIALING MANAGER)
(970) 624-4443
Entity
Organization
Contact information
Practice address
286 16TH ST, BURLINGTON, CO 80807-1651
(719) 365-6317
(719) 365-6317
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(719) 365-6317
(719) 365-6568
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
01/27/2021
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