NPI 1386263044

Poudre Valley Medical Group, LLC

Organisation General Practice Physician Loveland, CO

Practice location

Address: 3800 Wilson Ave, Loveland, CO 80538-2075
Phone: (970) 962-7105
Mailing address: 2695 Rocky Mountain Ave STE 150, Loveland, CO 80538-9071

Authorised official

Name: Jana Conroy
Title: Director of Credentialing
Phone: (970) 962-7105

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1386263044
Entity type: Organization
NPI issued: 13 Apr 2020
Record last updated: 24 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.