Poudre Valley Medical Group, LLC

NPI #1033722376 in Monument, Colorado

Provider Information

NPI Number: 1033722376
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: Family Medicine
Enumeration Date: Aug 26, 2020
Last Updated: May 2, 2024

Practice Location

Address: 15854 JACKSON CREEK PKWY UNIT 120
City: Monument
State: Colorado
ZIP Code: 80132-8663
Phone: (719) 364-9930

Authorized Official

Name: JANA CONROY
Title: DIRECTOR OF CREDENTIALING
Phone: (719) 364-9930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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