NPI 1114603222

Poudre Valley Medical Group, LLC

Organisation Urology Physician Colorado Springs, CO

Practice location

Address: 3843 Rio Vista Drive Suite 2300, Colorado Springs, CO 80917-3380
Phone: (719) 365-3700
Fax: (719) 365-3701
Mailing address: 2695 Rocky Mountain Ave STE 150, Loveland, CO 80538-9071

Authorised official

Name: Jana Conroy
Title: Director of Credentialing
Phone: (719) 365-3700

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Colorado →

Registry record

NPI: 1114603222
Entity type: Organization
NPI issued: 23 Jun 2023
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.