Poudre Valley Medical Group, LLC

NPI #1104457431 in Hugo, Colorado

Provider Information

NPI Number
1104457431
Entity Type
Organization
Organization Name
Poudre Valley Medical Group, LLC
Primary Specialty
Internal Medicine - Hematology & Oncology
Enumeration Date
Jan 27, 2020
Last Updated
Apr 9, 2020

Practice Location

Address
111 6TH ST
City
Hugo
ZIP Code
80821-2002
Phone
(719) 365-6568

Authorized Official

Name
JANA CONROY
Title
CREDENTIALING MANAGER
Phone
(970) 624-4443

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Hematology & OncologyHematology & Oncology

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