NPI 1316733751
Poudre Valley Medical Group, LLC
Practice location
- Address
- 1600 N Grand Ave STE 520, Pueblo, CO 81003-2757
- Phone
- (719) 562-2360
- Fax
- (719) 562-2399
- Mailing address
- 2695 Rocky Mountain Ave STE 150, Loveland, CO 80538-9071
Authorised official
- Name
- Jana Conroy
- Title
- Director of Credentialing
- Phone
- (719) 562-2360
Registered specialties
Pain Medicine Physician
Primary
Registry record
- NPI
- 1316733751
- Entity type
- Organization
- NPI issued
- 15 Apr 2025
- Record last updated
- 15 Apr 2025
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.