NPI 1154937282

Poudre Valley Medical Group, LLC

Organisation General Practice Physician Longmont, CO

Practice location

Address: 2900 Peak Ave, Longmont, CO 80504-6236
Phone: (720) 652-4468
Fax: (720) 718-8999
Mailing address: 2695 Rocky Mountain Ave STE 150, Loveland, CO 80538-9071

Authorised official

Name: Jana Conroy
Title: Director of Credentialing
Phone: (720) 652-4468

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Colorado →

Registry record

NPI: 1154937282
Entity type: Organization
NPI issued: 23 Sep 2020
Record last updated: 11 Jun 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.