Poudre Valley Medical Group, LLC
NPI #1114603222 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1114603222
- 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
- Urology
- Enumeration Date
- Jun 23, 2023
- Last Updated
- May 29, 2024
Practice Location
- Address
- 3843 RIO VISTA DRIVE
- Address 2
- SUITE 2300
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80917-3380
- Phone
- (719) 365-3700
Authorized Official
- Name
- JANA CONROY
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (719) 365-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
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