Poudre Valley Medical Group, LLC
NPI #1023623659 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1023623659
- 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
- Surgery
- Enumeration Date
- Sep 10, 2020
- Last Updated
- May 2, 2024
Practice Location
- Address
- 2121 E HARMONY RD UNIT 330
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80528-3403
- Phone
- (970) 221-5878
Authorized Official
- Name
- JANA CONROY
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (970) 221-5878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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