NPI 1497431597

Poudre Valley Medical Group, LLC

Organisation Otolaryngology Physician Colorado Springs, CO

Practice location

Address: 3843 Rio Vista Drive Suite 2200, Colorado Springs, CO 80917-3381
Phone: (719) 364-4120
Fax: (719) 364-4121
Mailing address: 2695 Rocky Mountain Ave STE 150, Loveland, CO 80538-9071

Authorised official

Name: Jana Conroy
Title: Director of Credentialing
Phone: (719) 364-4120

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Colorado →

Audiologist

Speech, Language and Hearing Service Providers Taxonomy 231H00000X

Other Audiologist providers in Colorado →

Registry record

NPI: 1497431597
Entity type: Organization
NPI issued: 23 Jun 2023
Record last updated: 31 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.