Poudre Valley Medical Group, LLC

NPI #1205456035 in Laramie, Wyoming

Provider Information

NPI Number
1205456035
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
Apr 22, 2020
Last Updated
Jun 19, 2024

Practice Location

Address
3116 WILLETT DR
State
Wyoming
ZIP Code
82072-5048
Phone
(307) 742-9411

Authorized Official

Name
JANA CONROY
Title
DIRECTOR OF CREDENTIALING
Phone
(307) 742-9411

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Pulmonary DiseasePulmonary Disease
Psychiatry & Neurology - NeurologyNeurology
Surgery
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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Provider Name
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