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Organization

POUDRE VALLEY MEDICAL GROUP, LLC

Active
Parent organization
POUDRE VALLEY MEDICAL GROUP, LLC
Other names
UCHealth Medical Group, UCHealth Wound Care Clinic - Colorado Springs
Organization subpart
Yes

Provider details

NPI number
Legal business name
POUDRE VALLEY MEDICAL GROUP, LLC
Authorized official
JANA CONROY MBA, RHIA (DIRECTOR OF CREDENTIALING)
(719) 365-6881
Entity
Organization

Contact information

Practice address
175 S UNION BLVD STE 305, COLORADO SPRINGS, CO 80910-3126
(719) 365-6881
(719) 365-6877
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
207RI0200X
Infectious Disease Physician
208D00000X
General Practice Physician
Primary

Other

Enumeration date
02/23/2021
Last updated
08/19/2024
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