NPI 1316648637

Poudre Valley Medical Group, LLC

Organisation Podiatrist Colorado Springs, CO

Practice location

Address: 9348 Grand Cordera Pkwy STE 210, Colorado Springs, CO 80924-7002
Phone: (719) 365-7340
Fax: (719) 365-7349
Mailing address: 2695 Rocky Mountain Ave STE 150, Loveland, CO 80538-9071

Authorised official

Name: Jana Conroy
Title: Director of Credentialing
Phone: (719) 365-7340

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Colorado →

Registry record

NPI: 1316648637
Entity type: Organization
NPI issued: 14 Mar 2023
Record last updated: 15 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.