NPI 1104675792

Poudre Valley Medical Group, LLC

Organisation Family Medicine Physician Littleton, CO

Practice location

Address: 5920 S Estes St STE 250, Littleton, CO 80123-8620
Phone: (303) 973-3529
Fax: (303) 973-3549
Mailing address: 2695 Rocky Mountain Ave STE 150, Loveland, CO 80538-9071

Authorised official

Name: Jana Conroy
Title: Director of Credentialing
Phone: (303) 973-3529

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Colorado →

Registry record

NPI: 1104675792
Entity type: Organization
NPI issued: 15 May 2024
Record last updated: 15 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.