Poudre Valley Medical Group, LLC
NPI #1114532801 in Woodland Park, Colorado
Provider Information
- NPI Number
- 1114532801
- 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
- General Practice
- Enumeration Date
- Sep 10, 2020
- Last Updated
- Oct 24, 2024
Practice Location
- Address
- 16222 W US HIGHWAY 24 STE 220
- City
- Woodland Park
- State
- Colorado
- ZIP Code
- 80863-8763
- Phone
- (719) 653-2960
Authorized Official
- Name
- JANA CONROY
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (719) 365-2960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
| Psychiatry & Neurology - Neurology — Neurology |
| Surgery |
| Surgery - Vascular Surgery — Vascular Surgery |
| Urology |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Internal Medicine - Hematology & Oncology — Hematology & Oncology |
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
| Neurological Surgery |
| Nuclear Medicine - Nuclear Cardiology — Nuclear Cardiology |
| Obstetrics & Gynecology |
| Orthopaedic Surgery |
| General Practice |
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