NPI 1841805140
Poudre Valley Medical Group, LLC
Practice location
- Address
- 2101 Main St, Longmont, CO 80501-1406
- Phone
- (720) 745-8030
- Fax
- (720) 745-8031
- Mailing address
- 2695 Rocky Mountain Ave STE 150, Loveland, CO 80538-9071
Authorised official
- Name
- Jana Conroy
- Title
- Director of Credentialing
- Phone
- (720) 745-8030
Registered specialties (2)
Occupational Medicine Physician
Primary
Urgent Care Clinic/Center
Registry record
- NPI
- 1841805140
- Entity type
- Organization
- NPI issued
- 14 Sep 2020
- Record last updated
- 19 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.