Poudre Valley Medical Group, LLC
NPI #1124640214 in Walsenburg, Colorado
Provider Information
- NPI Number
- 1124640214
- 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
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- May 12, 2020
- Last Updated
- May 29, 2024
Practice Location
- Address
- 23450 US HIGHWAY 160
- City
- Walsenburg
- State
- Colorado
- ZIP Code
- 81089-8100
- Phone
- (719) 738-4588
Authorized Official
- Name
- JANA CONROY
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (719) 738-4588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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