NPI 1114598737

Poudre Valley Medical Group, LLC

Organisation General Practice Physician Colorado Springs, CO

Practice location

Address: 1400 E Boulder St STE 2410, Colorado Springs, CO 80909-5533
Phone: (719) 365-6525
Fax: (719) 365-5831
Mailing address: 2695 Rocky Mountain Ave STE 150, Loveland, CO 80538-9071

Authorised official

Name: Jana Conroy
Title: Director of Credentialing
Phone: (719) 365-6525

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Colorado →

Registry record

NPI: 1114598737
Entity type: Organization
NPI issued: 6 Jul 2021
Record last updated: 29 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.