Poudre Valley Medical Group, LLC

NPI #1043039043 in Berthoud, Colorado

Provider Information

NPI Number: 1043039043
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: Oct 7, 2024
Last Updated: Nov 19, 2024

Practice Location

Address: 1335 GRAND MARKET AVE UNIT 110
City: Berthoud
State: Colorado
ZIP Code: 80513-2779
Phone: (970) 674-4920

Authorized Official

Name: JANA CONROY
Title: DIRECTOR OF CREDENTIALING
Phone: (970) 674-4920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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DR. Cynthia Lee Goacher, M.D.	Family Medicine	Berthoud	AI Deep Dive
Ross W Armour, M.D.	Family Medicine	Berthoud	AI Deep Dive
DR. Timothy John Maly, MD	Family Medicine	Berthoud	AI Deep Dive
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Catholic Health Initiatives Colorado	Family Medicine	Berthoud	AI Deep Dive

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