NPI 1811502990

Poudre Valley Medical Group, LLC

Organisation General Practice Physician Aurora, CO

Practice location

Address: 2450 S Peoria St STE 245, Aurora, CO 80014-5475
Phone: (303) 752-7732
Fax: (720) 848-9112
Mailing address: 2695 Rocky Mountain Ave STE 150, Loveland, CO 80538-9071

Authorised official

Name: Jana Conroy
Title: Director of Credentialing
Phone: (303) 752-7732

Registered specialties (3)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Colorado →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Colorado →

Urgent Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QU0200X

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Registry record

NPI: 1811502990
Entity type: Organization
NPI issued: 15 Sep 2020
Record last updated: 20 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.