Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Other names
UCHealth Medical Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JANA CONROY RHIA (MANAGER CREDENTIALING)
(970) 624-4443
Entity
Organization
Contact information
Practice address
1500 S LEMAY AVE, FORT COLLINS, CO 80524-4262
(970) 495-8780
(970) 495-8799
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4443
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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