Poudre Valley Medical Group, LLC

NPI #1124658059 in Salida, Colorado

Provider Information

NPI Number
1124658059
Entity Type
Organization
Organization Name
Poudre Valley Medical Group, LLC
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date
Jan 20, 2020
Last Updated
Jan 20, 2020

Practice Location

Address
1000 RUSH DR
City
Salida
ZIP Code
81201-9627
Phone
(719) 530-2200

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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