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)
(303) 265-3390
Entity
Organization
Contact information
Practice address
175 INVERNESS DR W STE 300, ENGLEWOOD, CO 80112-5069
(303) 265-3390
(720) 516-0237
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
261QR0404X
Cardiac Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/08/2023
Last updated
08/19/2024
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