Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Other names
UCHealth Maternal Fetal Medicine Clinic - Pueblo
Organization subpart
No
Provider details
NPI number
Authorized official
JANA CONROY (CREDENTIALING MANAGER)
(970) 624-4443
Entity
Organization
Contact information
Practice address
216 W 13TH ST, PUEBLO, CO 81003-3704
(719) 595-7474
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(719) 595-7474
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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