Organization
POUDRE VALLEY MEDICAL GROUP, LLC
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)
(970) 224-3636
Entity
Organization
Contact information
Practice address
2121 E HARMONY RD UNIT 230, FORT COLLINS, CO 80528-3401
(970) 224-3636
(970) 224-3637
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
11/10/2020
Last updated
08/19/2024
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