NPI 1225742000

Poudre Valley Medical Group, LLC

Organisation General Practice Physician Longmont, CO

Practice location

Address: 1760 E Ken Pratt Blvd 1.220, 1.222, Longmont, CO 80504-5311
Phone: (720) 718-5140
Fax: (720) 516-0246
Mailing address: 2695 Rocky Mountain Ave STE 150, Loveland, CO 80538-9071

Authorised official

Name: Jana Conroy
Title: Director of Credentialing
Phone: (720) 718-5140

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Colorado →

Hospitalist Physician

Allopathic & Osteopathic Physicians Taxonomy 208M00000X

Other Hospitalist providers in Colorado →

Registry record

NPI: 1225742000
Entity type: Organization
NPI issued: 6 Jan 2023
Record last updated: 12 Jul 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.