NPI 1619579224

Poudre Valley Medical Group, LLC

Organisation Radiation Oncology Physician Fort Collins, CO

Practice location

Address: 2121 E Harmony Rd Unit 160, Fort Collins, CO 80528-3413
Phone: (970) 482-3328
Fax: (970) 482-1433
Mailing address: 2695 Rocky Mountain Ave STE 150, Loveland, CO 80538-9071

Authorised official

Name: Jana Conroy
Title: Director of Credentialing
Phone: (970) 482-3328

Registered specialties

Radiation Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X

Other Radiology providers in Colorado →

Registry record

NPI: 1619579224
Entity type: Organization
NPI issued: 10 Nov 2020
Record last updated: 5 Aug 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.