Poudre Valley Medical Group, LLC

NPI #1194280263 in Firestone, Colorado

Provider Information

NPI Number: 1194280263
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: Family Medicine
Enumeration Date: Feb 4, 2019
Last Updated: Jan 2, 2025

Practice Location

Address: 11083 COLORADO BLVD
City: Firestone
State: Colorado
ZIP Code: 80504-5873
Phone: (303) 833-8880

Authorized Official

Name: JANA CONROY, MBA, RHIA
Title: DIRECTOR OF CREDENTIALING
Phone: (303) 833-8880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X
Surgery	208600000X
Family Medicine	207Q00000X	Primary

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