Poudre Valley Medical Group, LLC

NPI #1013539113 in Trinidad, Colorado

Provider Information

NPI Number
1013539113
Entity Type
Organization
Organization Name
Poudre Valley Medical Group, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
May 12, 2020
Last Updated
Jun 11, 2024

Practice Location

Address
328 S BONAVENTURE AVE STE 2
ZIP Code
81082-2086
Phone
(719) 364-6487

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(719) 364-6487

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Hematology & OncologyHematology & Oncology
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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