Poudre Valley Medical Group, LLC

NPI #1164052783 in Yuma, Colorado

Provider Information

NPI Number: 1164052783
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 - Hematology & Oncology
Enumeration Date: Jan 23, 2020
Last Updated: Jun 11, 2024

Practice Location

Address: 1000 W 8TH AVE
City: Yuma
State: Colorado
ZIP Code: 80759-2641
Phone: (970) 848-5405

Authorized Official

Name: JANA CONROY
Title: DIRECTOR OF CREDENTIALING
Phone: (970) 848-5405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Internal Medicine - Hematology & Oncology — Hematology & Oncology	207RH0003X	Primary

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