NPI 1366763260

Poudre Valley Medical Group, LLC

Organisation General Practice Physician Loveland, CO

Practice location

Address: 2695 Rocky Mountain Ave Suite 150, Loveland, CO 80538-8702
Phone: (970) 624-4420
Fax: (970) 624-4459

Authorised official

Name: Jana Conroy
Title: Credentialing Manager
Phone: (970) 624-4443

Registered specialties (9)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Pulmonary Disease Physician

Allopathic & Osteopathic Physicians Taxonomy 207RP1001X

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Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

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Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X

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Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208200000X

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Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Emergency Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QE0002X

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Registry record

NPI: 1366763260
Entity type: Organization
NPI issued: 15 Jun 2010
Record last updated: 19 Nov 2019

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.